Active NPI
Jo Baker, LCSW
- Clinical Social Worker
- Pontotoc, MS
National Provider Identifier
1578837597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C7358
- Practice address
- 358 E Oxford St
Pontotoc, MS 38863-2326 - Phone
- (662) 871-1369
- Fax
- (662) 297-7169
- NPI assigned
- Mar 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C7358 | MS | Primary |
Addresses
Primary practice location
358 E Oxford St
Pontotoc, MS 38863-2326
Mailing address
127 Brandywine Rd
Belden, MS 38826-9722
Phone (662) 871-1369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C7358 | Other | MS | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C7358 | MS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1578837597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 BRANDYWINE RD",
"city": "BELDEN",
"state": "MS",
"postal_code": "388269722",
"telephone_number": "662-871-1369",
"fax_number": "662-297-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 E OXFORD ST",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388632326",
"telephone_number": "662-871-1369",
"fax_number": "662-297-7169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "JO",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C7358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "C7358",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pontotoc, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.