Active NPI
Nancy E Baker Licsw PC
- Clinical Social Worker
- Norwich, VT
National Provider Identifier
1154495349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0890000102
- Legal business name
- NANCY E BAKER LICSW PC
- Practice address
- 186 Beaver Meadow Rd
Norwich, VT 05055 - Phone
- (802) 649-5636
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy E Baker, LICSW PC
- Title
- President
- Phone
- (802) 649-5636
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0890000102 | VT | Primary |
| Clinical Social Worker | 1041C0700X | 3 | NH |
Addresses
Primary practice location
186 Beaver Meadow Rd
Norwich, VT 05055
Mailing address
186 Beaver Meadow Rd
Norwich, VT 05055
Phone (802) 649-5636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NBAK00059099 | Other | VT | BCBS OF VT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154495349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 BEAVER MEADOW RD",
"city": "NORWICH",
"state": "VT",
"postal_code": "05055",
"telephone_number": "802-649-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 BEAVER MEADOW RD",
"city": "NORWICH",
"state": "VT",
"postal_code": "05055",
"telephone_number": "802-649-5636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY E BAKER LICSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "802-649-5636",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW PC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "0890000102",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "3",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF VT",
"identifier": "NBAK00059099",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.