Patricia Baer & Associates, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801062614 Issued in MI

Legal business name

PATRICIA BAER & ASSOCIATES, PLLC

Practice address

36 W 8TH St
Holland, MI 49423-2701

Phone

(616) 392-6116

Fax

(616) 399-6335

NPI assigned

Sep 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Baer, LMSW, ACSWNPI 1174615009

Title

Member Provider

Phone

(616) 392-6116

Specialties & licenses 1

Addresses

Other names 1

• Connections Counseling and Life Coaching Services, LLC Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Baer, LMSW

  • Clinical Social Worker
  • Holland, MI
  • NPI 1174615009
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164522041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LAKEVIEW AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242250",
            "telephone_number": "616-392-6116",
            "fax_number": "616-399-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 8TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232701",
            "telephone_number": "616-392-6116",
            "fax_number": "616-399-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA BAER & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MEMBER PROVIDER",
        "authorized_official_telephone_number": "616-392-6116",
        "authorized_official_credential": "LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connections Counseling and Life Coaching Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Social Worker in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.