Individual provider Active NPI

Brianna Baker, MSW, LICSW

  • Clinical Social Worker
  • Grand Rapids, MN
National Provider Identifier
1326850827
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31043 Issued in MN
Practice address
413 SE 13TH St Ste a
Grand Rapids, MN 55744-0016
Phone
(218) 360-2054
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 31043 MN Primary

Addresses

Primary practice location

413 SE 13TH St Ste a
Grand Rapids, MN 55744-0016

Mailing address

413 SE 13TH St Ste a
Grand Rapids, MN 55744-0016
Phone (651) 395-1850

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
I20250514003284 MN Practitioner - Clinical Social Worker 9335667237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Homes, Inc. CurrentSince Apr 8, 2025 Accepting new patients

Locations

303 SE 1st St
Grand Rapids, MN 55744
Phone (218) 326-0349

413 SE 13th St
Grand Rapids, MN 55744
Phone (218) 327-3000

413 SE 13th St
Ste A
Grand Rapids, MN 55744
Phone (218) 360-2054

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1326850827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SE 13TH ST STE A",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557440016",
            "telephone_number": "651-395-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SE 13TH ST STE A",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557440016",
            "telephone_number": "218-360-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRIANNA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

Verify at the official NPI Registry.