Mary Ellen Baker-Gayne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW3737 Issued in FL

Practice address

2555 Enterprise Rd.
Ste. 2
Clearwater, FL 33763

Phone

(727) 791-7200

Fax

(727) 726-2712

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1376679464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 ENTERPRISE RD.",
            "address_2": "STE. 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-725-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 ENTERPRISE RD.",
            "address_2": "STE. 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-791-7200",
            "fax_number": "727-726-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER-GAYNE",
        "first_name": "MARY ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW 3737",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Bailey-Reed
• Mary Elaine Bailey, NP
• Kimberly Kay Bain, ARNP-C
• Gail Baird, CRNFA
• Kathryn Leigh Baird, LMT CNS CPT
• Amaryllis Baker
• Rose Mary Baker
• Sara Baker, PMHNP
• Nardeen Bakhit
• Peter Bakhit

• Clinical Social Worker in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.