Mark Baker

Individual provider Active NPI Social Worker · Toccoa, GA

NPI 1457500233 · NPPES record last updated Sep 16, 2008

Key facts

NPI
1457500233
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
467 W Doyle St
Toccoa, GA 30577-1791
Phone
(706) 827-9937
Fax
(706) 827-0085
NPI assigned
Sep 16, 2008
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

467 W Doyle St
Toccoa, GA 30577-1791

Mailing address

126 Wild Horse Cove Cir
Cleveland, GA 30528-2231
Phone (706) 348-7542

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2008.

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1457500233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 WILD HORSE COVE CIR",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305282231",
            "telephone_number": "706-348-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 W DOYLE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305771791",
            "telephone_number": "706-827-9937",
            "fax_number": "706-827-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

All providers in Toccoa, GA · Social Worker in Georgia

Sources for this page

Verify at the official NPI Registry.