Individual provider Active NPI

Peggy Leigh Baker, LCSWR

  • Clinical Social Worker
  • Waddington, NY
National Provider Identifier
1245536788
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085400-1 Issued in NY
Practice address
1 Franklin Rd
Waddington, NY 13694-3155
Phone
(716) 785-3849
NPI assigned
Feb 1, 2011
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 085400-1 NY Primary

Addresses

Primary practice location

1 Franklin Rd
Waddington, NY 13694-3155

Mailing address

1 Franklin Rd
Waddington, NY 13694-3155
Phone (716) 785-3849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191218000473 NY Practitioner - Clinical Social Worker 6204196892 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085400-1NYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Oct 30, 2019 Accepting new patients
Gouverneur Hospital CurrentSince May 13, 2020 Accepting new patients
Legacy LCSW Counseling Services PC Clinical CurrentSince Oct 1, 2022 Accepting new patients
Hospice of St Lawrence Valley Inc CurrentSince Sep 20, 2024 Accepting new patients
Canton-Potsdam Hospital CurrentSince Oct 30, 2019 Accepting new patients
Gouverneur Hospital CurrentSince May 13, 2020 Accepting new patients

Locations

6 Chelsea Pl
Clifton Park, NY 12065
Phone (518) 400-0033

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

Interoperability endpoints

  • Direct secure messaging: pbaker@cahclinics.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1245536788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FRANKLIN RD",
            "city": "WADDINGTON",
            "state": "NY",
            "postal_code": "136943155",
            "telephone_number": "716-785-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FRANKLIN RD",
            "city": "WADDINGTON",
            "state": "NY",
            "postal_code": "136943155",
            "telephone_number": "716-785-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "PEGGY",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085400-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waddington, NY

Sources for this page

Verify at the official NPI Registry.