Individual provider Active NPI

Patricia Baer, LMSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1174615009
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801062614 Issued in MI
Practice address
36 W 8TH St
Suite 250
Holland, MI 49423-2708
Phone
(616) 392-6116
Fax
(616) 399-6335
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801062614 MI Primary

Addresses

Primary practice location

36 W 8TH St
Suite 250
Holland, MI 49423-2708

Mailing address

151 Lakeview Ave
Holland, MI 49424-2250
Phone (616) 392-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061031000116 MI Practitioner - Clinical Social Worker 6901803238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Baer & Associates, PLLC Clinical CurrentSince Jun 1, 2006 Accepting new patients

Locations

36 W 8th St
Ste 250
Holland, MI 49423
Phone (616) 392-6116

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174615009",
    "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",
            "address_2": "SUITE 250",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232708",
            "telephone_number": "616-392-6116",
            "fax_number": "616-399-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAER",
        "first_name": "PATRICIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.