Gail E Baker, LCSW
Individual provider Active NPI Clinical Social Worker · Boise, ID
NPI 1124091210 · NPPES record last updated Oct 19, 2011
Key facts
- NPI
- 1124091210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 581 LCSW (MT)
- Practice address
- 503 Avenue H Apt 503
Boise, ID 83712-6433 - Phone
- (406) 461-7267
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Walter Knox Memorial Hospital
Integrity Psychiatric Services LLC
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
- Valor Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- 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 |
|---|---|---|---|---|
| I20250124002089 | ID | Practitioner - Clinical Social Worker | 8729017561 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 581 LCSW | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Walter Knox Memorial Hospital | Current |
Accepting new patients | |
| Walter Knox Memorial Hospital | Current |
Accepting new patients | |
| Walter Knox Memorial Hospital | Past | Accepting new patients | |
| Center for Mental Health | Clinical | Past |
Accepting new patients |
Locations
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
1102 E Locust St
Emmett, ID 83617
Phone (208) 365-6004
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 581 LCSW | MT | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000070495 | Other | MT | BLUE CROSS/SHIELD OF MONT |
| P00692103 C01340 | Other | MT | RAILROAD MEDICARE PROVIDER NUMBER |
Other providers in Boise, ID
- Ashley Marie Baker
- Bridgette Marie Baker
- Cheryl A Baker
- Domini Baker
- Forrest James Baker
- James P Baker
- Jane D Baker
- Jennifer J Baker
- Lauren Baker
- Vanity Kaitlin Baker
All providers in Boise, ID · Clinical Social Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2011. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.