Kris Anne Baker, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Silverton, OR
NPI 1114686268 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1114686268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10659 (OR)
- Practice address
- 329 Fossholm St NE Apt C3
Silverton, OR 97381-1556 - Phone
- (503) 545-9414
- NPI assigned
- Dec 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220429001431 | OR | Practitioner - Clinical Social Worker | 1254728876 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10659 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Pastoral Counseling Center | Mental Health | Current |
Accepting new patients |
Locations
2001 Commercial St SE
Salem, OR 97302
Phone (503) 363-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 10659 | OR | Yes |
Addresses
Primary practice location
329 Fossholm St NE Apt C3
Silverton, OR 97381-1556
Mailing address
329 Fossholm St NE Apt C3
Silverton, OR 97381-1556
Phone (503) 545-9414
Other names
- Kris Anne Killam
Other providers in Silverton, OR
- Assisted Living Concepts Inc
- Audio Hearing Services
- Kimberly Sue-Ann Avery
- Erika Maria Bahler
- Alex Carl Bahrke
- Anne E. Barber-Shams
- Kristie Barnes
- Matthew Basinger
- Nathan Brian Bay
- Nicole Beaver
All providers in Silverton, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.