Peggy Leigh Baker, LCSWR
Individual provider Active NPI Clinical Social Worker · Waddington, NY
NPI 1245536788 · NPPES record last updated Sep 13, 2022
Key facts
- NPI
- 1245536788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 085400-1 (NY)
- Practice address
- 1 Franklin Rd
Waddington, NY 13694-3155 - Phone
- (716) 785-3849
- NPI assigned
- Feb 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191218000473 | NY | Practitioner - Clinical Social Worker | 6204196892 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085400-1 | NY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gouverneur Hospital | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Legacy LCSW Counseling Services PC | Clinical | Current |
Accepting new patients |
| Gouverneur Hospital | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Hospice of St Lawrence Valley Inc | Current |
Accepting new patients |
Locations
6 Chelsea Pl
Clifton Park, NY 12065
Phone (518) 400-0125
77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
Interoperability endpoints
- pbaker@cahclinics.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 085400-1 | NY | Yes |
Addresses
Primary practice location
1 Franklin Rd
Waddington, NY 13694-3155
Mailing address
1 Franklin Rd
Waddington, NY 13694-3155
Phone (716) 785-3849
Other providers in Waddington, NY
- Andrea Arquiett
- Elizabeth Anne Ashley
- Stacia Austin
- Kara R Averill
- Christine Backus
- Melissa Baxter
- Karen Cameron
- Carthage Area Hospital Inc
- Claxton-Hepburn Medical Center
- Chandler S Crosby
All providers in Waddington, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.