Seth Sebastian Baker, LCSW
Individual provider Active NPI Clinical Social Worker · Clovis, NM
NPI 1568012870 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1568012870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SWB-2022-0093 (NM)
- Practice address
- 308 Almond Tree LN
Clovis, NM 88101-1742 - Phone
- (850) 497-2265
- NPI assigned
- Sep 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240502003609 | NM | Practitioner - Clinical Social Worker | 8729428065 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Counseling, LLC | Clinical | Current |
Accepting new patients |
| Clovis Municipal Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWB-2022-0093 | NM | Yes |
Addresses
Primary practice location
308 Almond Tree LN
Clovis, NM 88101-1742
Mailing address
308 Almond Tree LN
Clovis, NM 88101-1742
Phone (850) 497-2265
Other practice location 1
1600 Sutter Pl
Clovis, NM 88101-4611
Phone (575) 769-4490 ext. 3104
Other providers in Clovis, NM
- Chloe Bailey
- Isaac Bailey
- Sarah Renee Bailey
- Janet Lynn Baker-Davis
- Lewie Evan Baker
- Sidney Alexis Baker
- Sylvia Baltazar
- Eric M. Banagay
- Monica Banuelos
- Kirsten Barber
All providers in Clovis, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.