Individual provider Active NPI

Patricia Erin Baker, LISW, LCSW

  • Social Worker
  • Hopkinsville, KY
National Provider Identifier
1356415905
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I10173 Issued in OH
Practice address
4000 Fort Campbell Blvd Ste G4
Hopkinsville, KY 42240-4967
Phone
(270) 885-2106
NPI assigned
Nov 17, 2006
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I10173 OH Primary

Addresses

Primary practice location

4000 Fort Campbell Blvd Ste G4
Hopkinsville, KY 42240-4967

Mailing address

4000 Fort Campbell Blvd Ste G4
Hopkinsville, KY 42240-4967
Phone (270) 885-2106

Other names 1

  • Patricia Erin Tingler Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I10173OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Behavioral Health, Inc. PastSince Jul 5, 2017 Accepting new patients

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1356415905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 FORT CAMPBELL BLVD STE G4",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404967",
            "telephone_number": "270-885-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FORT CAMPBELL BLVD STE G4",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404967",
            "telephone_number": "270-885-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "PATRICIA",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "LISW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I10173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "TINGLER",
            "middle_name": "ERIN",
            "credential": "LISW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.