Individual provider Active NPI

Elizabeth Diane Baker, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1457690331
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64000 Issued in TX
Practice address
3006 Bee Caves Rd
Suite D-310
Austin, TX 78746-5588
Phone
(512) 469-0889
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X 120163 MA
Clinical Social Worker 1041C0700X 64000 TX Primary

Addresses

Primary practice location

3006 Bee Caves Rd
Suite D-310
Austin, TX 78746-5588

Mailing address

318 Franchi Way
New Braunfels, TX 78130-5181
Phone (413) 588-6260

Other practice location 1

262 N Union Ave
New Braunfels, TX 78130-4450
Phone (830) 200-0061

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120163MAMDClinical Social Worker
64000TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Baker, LCSW-S PLLC Clinical CurrentSince Jan 26, 2020 Accepting new patients
Deep Eddy Advanced Care LLC Mental Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1457690331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 FRANCHI WAY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305181",
            "telephone_number": "413-588-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVES RD",
            "address_2": "SUITE D-310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465588",
            "telephone_number": "512-469-0889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 N Union Ave",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304450",
            "country_code": "US",
            "telephone_number": "830-200-0061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ELIZABETH",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120163",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.