Jean M Baker, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R058181-1 Issued in NY

Practice address

3 Fountain St
Suite 201
Clinton, NY 13323-1745

Phone

(315) 292-4834

NPI assigned

Mar 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 12, 2023 through Nov 12, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jean M Baker

  • Clinical Social Worker
  • Clinton, NY
  • NPI 1285122432

  Clinical

  NPD Authorized official
• Wellness Psychological Services, P.C.

  • Clinical Psychologist
  • Utica, NY
  • NPI 1982069985
  NPD (past)

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476489600000",
    "number": "1164664934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FOUNTAIN ST",
            "address_2": "SUITE 201",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231745",
            "telephone_number": "315-292-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FOUNTAIN ST",
            "address_2": "SUITE 201",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231745",
            "telephone_number": "315-292-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2016-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R058181-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeorge Uson Arcellana, PT
• Amanda Faye Armstrong, DPT
• Nickenha Ashley
• Nicholas Ashton, DPT
• Cassidy Atkinson-Smith, OTR/L
• Rebecca Baker, M.SC.
• Nora Ball, M.A., CCC-SLP
• Kayla Barber, LMSW
• Jennifer Marie Bartkowiak, M.A., LMHC
• Karen Barton

• All providers in Clinton, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.