Baker-Crellin, PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

C005161 Issued in NC

Legal business name

BAKER-CRELLIN, PA

Practice address

107 Kilson Dr
Suite 202
Mooresville, NC 28117-8162

Phone

(704) 660-8321

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Nancy E Baker-Crellin, ACSW, LCSW, CSAC

Title

President/Owner

Phone

(704) 660-8321

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1295989044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 SPRING RUN DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178133",
            "telephone_number": "704-660-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KILSON DR",
            "address_2": "SUITE 202",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178162",
            "telephone_number": "704-660-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER-CRELLIN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "BAKER-CRELLIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-660-8321",
        "authorized_official_credential": "ACSW, LCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "C005161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Weisenberger Bailey
• Colleen Marie Bailey, CRNA
• Jennifer Bailey
• Paul Alexander Baillif, LPC
• Nancy E. Baker-Crellin, ACSW, LCSW, CSAC
• Caitlin Marie Baker, DC
• Elizabeth Baker, PA-C
• Balance Naturopathic & Acupuncture Clinic
• Douglas Alan Balog, BS PHARMACY
• Derik Nelson Baltich, D.C.

• All providers in Mooresville, NC
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.