Emma Jane Baker, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

07091825C Issued in AL

Practice address

812 Kennilworth Rd SW
Decatur, AL 35603-1316

Phone

(256) 353-8528

Fax

(866) 268-4763

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

Yes

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.

• Adoption & Psychotherapy Assoc

  • Clinical Social Worker
  • Decatur, AL
  • NPI 1982323994

  Clinical

  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: emmabaker@tdh.allscriptsdirect.net

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1508894940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 KENNILWORTH RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031316",
            "telephone_number": "256-350-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 KENNILWORTH RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031316",
            "telephone_number": "256-353-8528",
            "fax_number": "866-268-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "EMMA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4567812",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "07091825C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11794122",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Decatur",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "812 Kennilworth Rd SW",
            "city": "Decatur",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356031316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joe David Bailey, BS
• Suzanna F Bailey, SLP
• Brenda Ann Baird, LPC
• Brittany Lee Baker, PHARM D
• Delainey Baker, RBT
• Laura Baker
• Heather Danielle Balentine, CRNP
• Emily L Bales, PHARMD
• Tasma S Ball
• Addie Ballentine

• All providers in Decatur, AL
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.