Organization Active NPI

Nancy E Baker Licsw PC

  • Clinical Social Worker
  • Norwich, VT
National Provider Identifier
1154495349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890000102 Issued in VT
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0890000102 VT Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
NBAK00059099OtherVTBCBS OF VT

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.