Individual provider Active NPI

Patricia Sue Baker, LISW-S

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1386146819
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102597-SUPV Issued in OH
Practice address
6838 Loop Rd
Dayton, OH 45459-2159
Phone
(937) 270-3411
NPI assigned
Feb 28, 2018
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2102597-SUPV OH Primary

Addresses

Primary practice location

6838 Loop Rd
Dayton, OH 45459-2159

Mailing address

6838 Loop Rd
Dayton, OH 45459-2159
Phone (937) 270-3411

Other practice location 1

804 Chandler Dr
Trotwood, OH 45426-2512
Phone (937) 270-3411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108001004 OH Practitioner - Clinical Social Worker 2365978764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6838 Loop Rd
Dayton, OH 45459-2159
Phone (937) 496-5865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2102597-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Healing Place LLC CurrentSince Nov 21, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 2, 2025 Accepting new patients
Phoenix Group Home, LLC PastSince Feb 1, 2022 Accepting new patients
Phoenix Group Home, LLC PastSince Feb 1, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

6838 Loop Rd
Dayton, OH 45459
Phone (937) 270-3411

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations & group practices 4

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1386146819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 LOOP RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592159",
            "telephone_number": "937-270-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 LOOP RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592159",
            "telephone_number": "937-270-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Chandler Dr",
            "address_purpose": "LOCATION",
            "city": "Trotwood",
            "state": "OH",
            "postal_code": "454262512",
            "country_code": "US",
            "telephone_number": "937-270-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102597-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.