Bailey Kerr
Individual provider Active NPI Social Worker · Conneaut, OH
NPI 1134839616 · NPPES record last updated Nov 25, 2022
Key facts
- NPI
- 1134839616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S.1701493 (OH)
- Practice address
- 179 Broad St
Conneaut, OH 44030-2614 - Phone
- (440) 487-7930
- NPI assigned
- Nov 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1701493 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Family Counseling, LLC | Current |
Accepting new patients | |
| Karen Baluch, LPCC Baker Family Counseling | Past |
Accepting new patients |
Locations
179 Broad St
Conneaut, OH 44030
Phone (440) 487-7930
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1701493 | OH | Yes |
Addresses
Primary practice location
179 Broad St
Conneaut, OH 44030-2614
Mailing address
179 Broad St
Conneaut, OH 44030-2614
Phone (440) 487-7930
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | karen.baluch@bakerhealth.org | Direct |
Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.