Individual provider Active NPI

Gail E Baker, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1124091210
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
581 LCSW Issued in MT
Practice address
503 Avenue H Apt 503
Boise, ID 83712-6433
Phone
(406) 461-7267
NPI assigned
Feb 9, 2006
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 581 LCSW MT Primary
Clinical Social Worker 1041C0700X LCSW-31504 ID

Addresses

Primary practice location

503 Avenue H Apt 503
Boise, ID 83712-6433

Mailing address

503 Avenue H Apt 503
Boise, ID 83712-6433
Phone (406) 461-7267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124002089 ID Practitioner - Clinical Social Worker 8729017561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walter Knox Memorial HospitalGroup PAC ID 7012907785, 21 clinicians
Integrity Psychiatric Services LLCGroup PAC ID 4082968599, 13 clinicians

Practice addresses (Care Compare)

1102 E Locust St
Emmett, ID 83617-2713
Phone (208) 365-6004

540 N Moffatt Ave
Emmett, ID 83617-2733
Phone (208) 283-7314

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
581 LCSWMTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Knox Memorial Hospital Current Accepting new patients
Walter Knox Memorial Hospital CurrentSince Nov 14, 2024 Accepting new patients
Walter Knox Memorial Hospital CurrentSince Nov 14, 2024 Accepting new patients
Center for Mental Health Clinical PastSince Apr 22, 2013 Accepting new patients
Walter Knox Memorial Hospital Past Accepting new patients

Locations

1102 E Locust St
Emmett, ID 83617
Phone (208) 365-6004

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1124091210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 AVENUE H APT 503",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126433",
            "telephone_number": "406-461-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 AVENUE H APT 503",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126433",
            "telephone_number": "406-461-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "GAIL",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "581 LCSW",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-31504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.