Katie Arlene Baptist, LCSW

Individual provider Active NPI Clinical Social Worker · Fair Oaks, CA

NPI 1154547990 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1154547990
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCS 20778 (CA)
Practice address
8030 Sacramento St
Fair Oaks, CA 95628-7527
Phone
(916) 996-5851
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LCS 20778CAMDClinical Social Worker
20778CAMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 20778 CA Yes

Addresses

Primary practice location

8030 Sacramento St
Fair Oaks, CA 95628-7527

Mailing address

10849 Scotsman Way
Rancho Cordova, CA 95670-5014
Phone (916) 996-5851

Other identifiers

IdentifierTypeStateIssuer
11699297OtherCAQH PROVIDER ID
379105OtherCAMHN PROVIDER NUMBER

Other providers in Fair Oaks, CA

All providers in Fair Oaks, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.