Individual provider Active NPI

Wendy Lee Baker, MSW, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1265568257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10703 Issued in MN
Practice address
348 Prior Ave N
Suite #205
Saint Paul, MN 55104-5187
Phone
(651) 646-1488
Fax
(651) 646-2285
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10703 MN Primary

Addresses

Primary practice location

348 Prior Ave N
Suite #205
Saint Paul, MN 55104-5187

Mailing address

348 Prior Ave N
Suite #205
Saint Paul, MN 55104-5187
Phone (651) 646-1488

Other identifiers 3

IdentifierTypeStateIssuer
6271180OtherMNMEDICA
88G66FAOtherMNBCBS GROUP
88G76BA1OtherMNBCBS INDIV.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150915002767 MN Practitioner - Clinical Social Worker 5698089050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Family Circle Counseling PLLCGroup PAC ID 4183624505, 2 clinicians

Practice addresses (Care Compare)

2356 University Ave W
Suite 280
Saint Paul, MN 55114-1898
Phone (651) 646-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10703MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Circle Counseling PLLC Clinical CurrentSince Aug 10, 2015 Accepting new patients

Locations

2356 University Ave W
Ste 280
Saint Paul, MN 55114
Phone (612) 207-8935

348 Prior Ave N
Ste 205
Saint Paul, MN 55104
Phone (612) 281-5265

Organizations & group practices 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265568257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 PRIOR AVE N",
            "address_2": "SUITE #205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045187",
            "telephone_number": "651-646-1488",
            "fax_number": "651-646-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 PRIOR AVE N",
            "address_2": "SUITE #205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045187",
            "telephone_number": "651-646-1488",
            "fax_number": "651-646-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "WENDY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6271180",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "88G66FA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIV.",
            "identifier": "88G76BA1",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.