Angelita Baker, LCSW – Clinical Social Worker

Key facts

NPI: 1356898613
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: C-09475 (NM)
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
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Blue Sky Counseling Associates Professional Counselor · Alamogordo, NM · NPI 1154809283

Medicare reassignment Care Compare group NPD CLINICAL · NM

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2001
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Blue Sky Counseling Associates (8 clinicians)

Practice addresses (Care Compare)

1301 Oregon Ave
Suite a
Alamogordo, NM 88310-5710
Phone (575) 214-2886

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20181116000451	NM	Practitioner - Clinical Social Worker	4981958600	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Blue Sky Counseling Associates	Clinical	Current since Mar 1, 2019	Accepting new patients

Locations

1301 Oregon Ave
Ste A
Alamogordo, NM 88310
Phone (575) 214-2886

1301 Oregon Ave
Alamogordo, NM 88310
Phone (575) 430-4115

1021 N Florida Ave
Alamogordo, NM 88310

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	C-09475	NM	Yes

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

Other providers in Holloman Afb, NM

All providers in Holloman Afb, NM · Clinical Social Worker in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.