Eleanore Baidoo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 21628 Issued in CA

Practice address

1904 S Robertson Blvd
#104
Los Angeles, CA 90034-1129

Phone

(310) 226-2988

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Moon Senior Counseling of California LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1447678990

  CA

  Medicare reassignment NPD
• Step Up on Second Street, Inc.

  dba Step Up on Second Street

  • Community/Behavioral Health Agency
  • Santa Monica, CA
  • NPI 1831228626
  NPD
• Brighter Tomorrow Family Therapy Inc

  • Mental Health Counselor
  • Culver City, CA
  • NPI 1376407841

  Clinical

  NPD (past)
• Kohan International Foundation

  • Marriage & Family Therapist
  • Culver City, CA
  • NPI 1538424049
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255459939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MONTANA AVE",
            "address_2": "#208",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031256",
            "telephone_number": "310-451-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 S ROBERTSON BLVD",
            "address_2": "#104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341129",
            "telephone_number": "310-226-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIDOO",
        "first_name": "ELEANORE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 21628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chester Kevin Bai, MD
• Jefferson Bai
• Steven I. Bai, O.D.
• Sarai Baide
• Ernest K Baiden
• Mariam Elizabeth Baiedi, PSYD, LMFT
• Armin R Baier Jr., LCSW
• Baig Family Dental Group
• Humza Baig
• Amy Hyo-Jung Baik

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.