Tedisha R. Baker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1175 N Guignard Dr
Sumter, SC 29150-1519

Phone

(803) 775-7898

Fax

(803) 773-5246

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• South Carolina Dept of Mental Health Accounting Office

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1366635005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N MAGNOLIA ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504943",
            "telephone_number": "803-775-9364",
            "fax_number": "803-773-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 N GUIGNARD DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501519",
            "telephone_number": "803-775-7898",
            "fax_number": "803-773-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TEDISHA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri J Babb, CRNA
• Ryan Patrick Bagnal, M.A.
• Mary Baird, APRN
• May L. Baird, BCABA
• John Kenneth Baker, M.D.
• Valecia Ann Baldwin-Johnson, NCMT/RN
• David Baldwin
• Harvey Brian Balfour, MD
• Claire L Banks, MPH, BSN, RN, CDCES
• Anita Barker, BCBA

• All providers in Sumter, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.