John David Baldwin, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M06007 Issued in NM

Practice address

21St St.
BLDG 2437
Ft. Campbell, KY 42223

Phone

(270) 798-8967

Fax

(270) 956-0219

NPI assigned

Nov 10, 2005

Last updated

Nov 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1437130994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21ST ST.",
            "address_2": "BLDG 2437",
            "city": "FT. CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-798-8967",
            "fax_number": "270-956-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21ST ST.",
            "address_2": "BLDG 2437",
            "city": "FT. CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-798-8967",
            "fax_number": "270-956-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M06007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69029814",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bailey
• Shawn M Bailey, PT, DPT, OCS
• Gena Baisa, RDN
• Michael Robert Baker, D.P.M.
• Pamela Jane Baker, PH.D.
• Kathryn Leigh Baldwin, PH.D.
• Natasha D Baldwin, LPN
• Rebecca Ball, LCSW
• Ramon David Balsa, MA
• Elizabeth M Baltensperger

• Social Worker in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.