NPIMap

Patty A Baker, CDMS CCM QRP

Individual provider Active NPI Case Manager/Care Coordinator · Columbia, SC

NPI 1174854087 · NPPES record last updated May 8, 2018

Key facts

NPI
1174854087
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
00080750 (WV)
Practice address
4611 Hard Scrabble Rd Ste 109-191
Columbia, SC 29229-8584
Phone
(803) 999-6570
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00080750WVMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Workers Comp Consulting Services LLC Case Manager/Care Coordinator Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 00080750 WV Yes

Addresses

Primary practice location

4611 Hard Scrabble Rd Ste 109-191
Columbia, SC 29229-8584

Mailing address

PO Box 290428
Columbia, SC 29229-0008
Phone (803) 451-1479

Other providers in Columbia, SC

All providers in Columbia, SC · Case Manager/Care Coordinator in South Carolina

Sources for this page

Verify at the official NPI Registry.