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

Last updated

Nov 6, 2008By the provider in NPPES

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, CSACNPI 1942256011

Title

President/Owner

Phone

(704) 660-8321

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy E. Baker-Crellin, ACSW, LCSW, CSAC

  • Clinical Social Worker
  • Mooresville, NC
  • NPI 1942256011
  Authorized official Same address or phone

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.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mooresville, NC
• Providers in Mooresville, NC by specialty
• 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.