Individual provider Active NPI

Kacy L. Baker, LCSW

  • Clinical Social Worker
  • Panama City Beach, FL
National Provider Identifier
1407109853
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13033 Issued in FL
Practice address
700 Breakfast Point Blvd
Panama City Beach, FL 32407-2534
Phone
(850) 766-1208
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X B260512878050 FL
Clinical Social Worker 1041C0700X SW13033 FL Primary

Addresses

Primary practice location

700 Breakfast Point Blvd
Panama City Beach, FL 32407-2534

Mailing address

700 Breakfast Point Blvd
Panama City Beach, FL 32407-2534
Phone (850) 766-1208

Other identifiers 1

IdentifierTypeStateIssuer
B260512878050OtherFLDRIVERS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13033FLMDClinical Social Worker
B260512878050FLMDCase Manager/Care Coordinator

Interoperability endpoints

  • Direct secure messaging: kacy.baker.p1@direct.sokya.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1407109853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BREAKFAST POINT BLVD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072534",
            "telephone_number": "850-766-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BREAKFAST POINT BLVD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072534",
            "telephone_number": "850-766-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KACY",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2025-02-19",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "B260512878050",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "B260512878050",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.