Ennis C Baker, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002315 Issued in NC

Practice address

103 Lexington Dr
Chapel Hill, NC 27516-3251

Phone

(984) 260-6316

NPI assigned

Dec 19, 2019

Last updated

Dec 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ennis C Dellea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1245878370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LEXINGTON DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275163251",
            "telephone_number": "984-260-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LEXINGTON DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275163251",
            "telephone_number": "984-260-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ENNIS",
        "middle_name": "C",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENNIS",
            "last_name": "DELLEA",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia A Baker, NNP
• Dana Danielle Baker, M.D.
• Detra Renee Turner Baker, LPCA, NBCC
• Edward Baker Jr., MD
• Emily Kurzon Baker, AGNP-C
• Jessica Baker, PHD
• Madeline Baker, MSW, LCSW
• Matthew Robert Baker, PA-C
• Matthew S Baker, MD
• Nicholas Lee Baker, D.D.S.

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.