Kimberly Jean Baker, B.S.W – Social Worker

Key facts

NPI: 1306009477
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
Practice address: 1803 N Jackson St
Tullahoma, TN 37388-2201
Phone: (931) 461-1300
Fax: (931) 461-1303
NPI assigned: Jul 8, 2008
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Centerstone of Tennessee, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Nashville, TN · NPI 1396767430

NPD (past)
Centerstone of Tennessee, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Manhattan, KS · NPI 1023900651

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Centerstone of Tennessee, Inc.		Past since Jul 1, 2005	Accepting new patients
Centerstone of Tennessee, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X			Yes

Addresses

Primary practice location

1803 N Jackson St
Tullahoma, TN 37388-2201

Mailing address

1803 N Jackson St
Tullahoma, TN 37388-2201
Phone (931) 461-1300

Other providers in Tullahoma, TN

All providers in Tullahoma, TN · Social Worker in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.