Tanya Baker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-11440 Issued in NM

Practice address

3939 San Pedro Dr NE BLDG B1
Albuquerque, NM 87110-8903

Phone

(505) 903-5437

NPI assigned

Jul 17, 2018

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sandia Sol Therapy LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1184363277

  Clinical

  Medicare reassignment NPD Authorized official
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment NPD
• Mending Hearts, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1487100392

  Clinical

  NPD
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1437635927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 SAN PEDRO DR NE BLDG B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108903",
            "telephone_number": "505-903-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SAN PEDRO DR NE BLDG B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108903",
            "telephone_number": "505-903-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TANYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-10620",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Baker, DDS
• Mary-Theresa Leventhal Baker, M.D.
• Max Baker, MD
• Meara Anne Baker, SLP
• Ruby Baker
• Terrence Baker
• Tieneka Mary Baker, D.O.
• Zoe Baker, OD
• Cheryle Elaine Bakewell, CNP, APRN-BC, FNP
• Alexei Gennadievich Bakhirev, M.D.

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.