Active NPI
Angelita Baker, LCSW
- Clinical Social Worker
- Holloman AFB, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-09475
- Practice address
- 49TH Medical Group/Sgopf
280 First Street, BLDG 23
Holloman AFB, NM 88330-8273 - Phone
- (575) 572-5676
- Fax
- (575) 572-2259
- NPI assigned
- Sep 4, 2016
- Last updated
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-09475 | NM | Primary |
Addresses
Primary practice location
49TH Medical Group/Sgopf
280 First Street, BLDG 23
Holloman AFB, NM 88330-8273
Mailing address
49TH Medical Group/Sgow
280 First Street, BLDG 23
Holloman AFB, NM 88330-8273
Phone (575) 572-5676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 Oregon Ave
Suite a
Alamogordo, NM 88310-5710
Phone (575) 214-2886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-09475 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Sky Counseling Associates | Clinical | Current | Accepting new patients |
Locations
1021 N Florida Ave
Alamogordo, NM 88310
1301 Oregon Ave
Alamogordo, NM 88310
Phone (575) 430-4115
1301 Oregon Ave
Ste A
Alamogordo, NM 88310
Phone (575) 214-2886
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": "1472947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1356898613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49TH MEDICAL GROUP/SGOW",
"address_2": "280 FIRST STREET, BLDG 23",
"city": "HOLLOMAN AFB",
"state": "NM",
"postal_code": "883308273",
"telephone_number": "575-572-5676",
"fax_number": "575-572-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49TH MEDICAL GROUP/SGOPF",
"address_2": "280 FIRST STREET, BLDG 23",
"city": "HOLLOMAN AFB",
"state": "NM",
"postal_code": "883308273",
"telephone_number": "575-572-5676",
"fax_number": "575-572-2259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ANGELITA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-04",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-09475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holloman AFB, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.