Individual provider Active NPI

Thomas Baker, MSW, LSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1265020986
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011084A Issued in IN
Practice address
629 Ingle St
Evansville, IN 47708-1345
Phone
(812) 602-4022
NPI assigned
Jan 7, 2021
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 99101651A IN
Clinical Social Worker 1041C0700X 34011084A IN Primary

Addresses

Primary practice location

629 Ingle St
Evansville, IN 47708-1345

Mailing address

629 Ingle St
Evansville, IN 47708-1345
Phone (812) 602-4022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250212000198 IN Practitioner - Clinical Social Worker 7911437587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

445 N Cross Pointe Blvd
Evansville, IN 47715-4013
Phone (812) 476-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99101651AINMDSocial Worker
34011084AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Hospital Inc Clinical CurrentSince Dec 8, 2024 Accepting new patients
Deaconess Hospital Inc Clinical CurrentSince Dec 8, 2024 Accepting new patients

Locations

445 N Cross Pointe Blvd
Evansville, IN 47715
Phone (812) 402-2003

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

7200 E Indiana St
Evansville, IN 47715
Phone (812) 476-7200

Organizations & group practices 3

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1265020986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 INGLE ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081345",
            "telephone_number": "812-602-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 INGLE ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081345",
            "telephone_number": "812-602-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99101651A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011084A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.