Kerry Baxter, LCSW
Individual provider Active NPI Social Worker · Kingston, NY
NPI 1508109745 · NPPES record last updated Feb 4, 2016
Key facts
- NPI
- 1508109745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 087008 (NY)
- Practice address
- 1 Foxhall Ave
Kingston, NY 12401-5107 - Phone
- (845) 338-8444
- Fax
- (845) 338-2906
- NPI assigned
- Apr 5, 2013
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087008 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 087008 | NY | Yes |
Addresses
Primary practice location
1 Foxhall Ave
Kingston, NY 12401-5107
Mailing address
PO Box 95000
Philadelphia, PA 19195-4655
Phone (800) 444-6020
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.