Sandra Dee Baker, LMSW
Individual provider Active NPI Clinical Social Worker · South Windsor, CT
NPI 1386413490 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1386413490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9373 (CT)
- Practice address
- 90 Lisa Dr
South Windsor, CT 06074-1836 - Phone
- (860) 461-6695
- NPI assigned
- Dec 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9373 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9373 | CT | Yes |
Addresses
Primary practice location
90 Lisa Dr
South Windsor, CT 06074-1836
Mailing address
90 Lisa Dr
South Windsor, CT 06074-1836
Phone (860) 461-6695
Other names
- Miss Sandra Dee Fulgham
Other providers in South Windsor, CT
- Bonita Sonya Austin
- Murtaza A Awan
- Samantha Azinheira
- Banyatie Bah-Traore
- Natasha Bajwa
- Karen Ball
- Barbara Emery Aprn, LLC
- Elizabeth Peters Bartholomew
- Hannah Marie Bassett
- Katherine Beauregard
All providers in South Windsor, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.