Matthew Baker

Individual provider Active NPI Clinical Social Worker · Lancaster, NY

NPI 1184079063 · NPPES record last updated Apr 28, 2016

Key facts

NPI
1184079063
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
25 Tranquility TRL
Lancaster, NY 14086-1527
Phone
(716) 308-1577
NPI assigned
Apr 28, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

25 Tranquility TRL
Lancaster, NY 14086-1527

Mailing address

25 Tranquility TRL
Lancaster, NY 14086-1527

Other providers in Lancaster, NY

All providers in Lancaster, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.