Active NPI
Courtney Baker
- Clinical Social Worker
- Saranac Lake, NY
National Provider Identifier
1124631486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 098967
- Practice address
- 70 Edgewood Rd
Saranac Lake, NY 12983-1537 - Phone
- (518) 891-2510
- NPI assigned
- Aug 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 110197 | NY | |
| Clinical Social Worker | 1041C0700X | 098967 | NY | Primary |
Addresses
Primary practice location
70 Edgewood Rd
Saranac Lake, NY 12983-1537
Mailing address
70 Edgewood Rd
Saranac Lake, NY 12983-1537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250121000608 | NY | Practitioner - Clinical Social Worker | 4880123876 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Citizen Advocates, Inc
Practice addresses (Care Compare)
70 Edgewood Rd
Saranac Lake, NY 12983-1537
Phone (518) 483-1251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110197 | NY | MD | Social Worker |
| 098967 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizen Advocates, Inc | Current | Accepting new patients | |
| Franklin County Community Services | Past | Accepting new patients |
Locations
15 Francis St
Malone, NY 12953
Phone (518) 483-7801
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Malone, NY
- NPI 1780619064
NY
-
- Local Education Agency (LEA)
- Saranac Lake, NY
- NPI 1740334671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1124631486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 EDGEWOOD RD",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129831537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 EDGEWOOD RD",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129831537",
"telephone_number": "518-891-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "110197",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "098967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saranac Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.