Peaceful Therapy Services Licensed Clinical Social Worker Inc

Key facts

NPI

1326801705

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Social Worker 1041C0700X

Legal business name

PEACEFUL THERAPY SERVICES LICENSED CLINICAL SOCIAL WORKER INC

Practice address

9719 Lincoln Village Dr Ste 504
Sacramento, CA 95827-3332

Phone

(916) 365-4044

NPI assigned

Jan 30, 2024

Organization subpart

No

Authorized official

Name

Miss Shatayia Baker, LCSW NPI 1083054068

Title

Ceo

Phone

(916) 365-4044

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shatayia Baker, LCSW Clinical Social Worker · Sacramento, CA · NPI 1083054068
  NPD Authorized official CLINICAL

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2025.

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1326801705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9719 LINCOLN VILLAGE DR STE 504",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9719 LINCOLN VILLAGE DR STE 504",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273332",
            "telephone_number": "916-365-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL THERAPY SERVICES LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHATAYIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-365-4044",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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