Individual provider Active NPI

Patricia M Baker, LCSW

  • Clinical Social Worker
  • Storrs Mansfield, CT
National Provider Identifier
1215312137
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9101 Issued in CT
Practice address
945 Storrs Rd
Storrs Mansfield, CT 06268
Phone
(860) 500-8423
NPI assigned
Jul 21, 2015
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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 9101 CT Primary

Addresses

Primary practice location

945 Storrs Rd
Storrs Mansfield, CT 06268

Mailing address

958 Storrs Rd
Storrs Mansfield, CT 06268-2611
Phone (860) 500-8423

Other practice location 1

54 N Eagleville Rd
Storrs, CT 06268-1710
Phone (860) 500-8423

Other practice location 2

227 Main St
Danielson, CT 06239-2816
Phone (860) 500-8423

Other practice location 3

13 Water St
Danielson, CT 06239-2838
Phone (860) 779-5852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • 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
I20170926000394 CT Practitioner - Clinical Social Worker 8022380609 Practice locations: Storrs Mansfield, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

945 Storrs Rd
Storrs Mansfield, CT 06268-2618
Phone (860) 500-8423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1215312137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 STORRS RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682611",
            "telephone_number": "860-500-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 STORRS RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "06268",
            "telephone_number": "860-500-8423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 N Eagleville Rd",
            "address_purpose": "LOCATION",
            "city": "Storrs",
            "state": "CT",
            "postal_code": "062681710",
            "country_code": "US",
            "telephone_number": "860-500-8423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Main St",
            "address_purpose": "LOCATION",
            "city": "Danielson",
            "state": "CT",
            "postal_code": "062392816",
            "country_code": "US",
            "telephone_number": "860-500-8423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13 Water St",
            "address_purpose": "LOCATION",
            "city": "Danielson",
            "state": "CT",
            "postal_code": "062392838",
            "country_code": "US",
            "telephone_number": "860-779-5852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storrs Mansfield, CT

Sources for this page

Verify at the official NPI Registry.