Individual provider Active NPI

Sandriekia Baker, SOCIAL WORKER, LCSW

  • Clinical Social Worker
  • Youngsville, LA
National Provider Identifier
1124475710
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15758 Issued in LA
Practice address
202 Ashgrove LN
Youngsville, LA 70592-6870
Phone
(337) 446-1220
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X CSW.09929628 CO
Clinical Social Worker 1041C0700X
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 15758 LA Primary

Addresses

Primary practice location

202 Ashgrove LN
Youngsville, LA 70592-6870

Mailing address

202 Ashgrove LN
Youngsville, LA 70592-6870
Phone (337) 446-1220

Other practice location 1

7900 E Union Ave Ste 1100
Denver, CO 80237-2746
Phone (720) 230-6612

Other identifiers 2

IdentifierTypeStateIssuer
CSW.09929628OtherCOLICENSED CLINICAL SOCIAL WORKERS
15758OtherLALICENSED CLINICAL SOCIAL WORKERS

Other names 1

  • Sandriekia Baker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20231012003319 LA Practitioner - Clinical Social Worker 5991150807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azalea Health ServicesGroup PAC ID 8628432028, 41 clinicians

Practice addresses (Care Compare)

725 Brentwood Blvd
Lafayette, LA 70503-4405
Phone (337) 393-0678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09929628COMDSocial Worker
15758LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services Texas LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients
Abundant Life Mental Health LLC CurrentSince Jul 31, 2023 Accepting new patients
Insight Guidance Group Mental Health PastSince Nov 1, 2020 Accepting new patients
Colorado Innovative Services LLC Mental Health PastSince Mar 1, 2022 Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1124475710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ASHGROVE LN",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926870",
            "telephone_number": "337-446-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ASHGROVE LN",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926870",
            "telephone_number": "337-446-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 E Union Ave Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802372746",
            "country_code": "US",
            "telephone_number": "720-230-6612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SANDRIEKIA",
        "credential": "SOCIAL WORKER, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "CSW.09929628",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "15758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKERS",
            "identifier": "CSW.09929628",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKERS",
            "identifier": "15758",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRIEKIA",
            "last_name": "BAKER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Youngsville, LA

Sources for this page

Verify at the official NPI Registry.