Individual provider Active NPI

Katie Baba, MSW

  • Clinical Social Worker
  • St Simons Island, GA
National Provider Identifier
1588027585
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
126 Ledbetter Ave
St Simons Island, GA 31522-2040
Phone
(706) 715-3414
NPI assigned
Mar 29, 2016
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

126 Ledbetter Ave
St Simons Island, GA 31522-2040

Mailing address

126 Ledbetter Ave
St Simons Island, GA 31522-2040
Phone (706) 715-3414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016004864 FL Practitioner - Clinical Social Worker 0648702555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mtca Psychological Services P.a. CurrentSince Aug 29, 2024 Accepting new patients
Iain Halstead LLC Clinical Past Accepting new patients
Awareness to Wellness Counseling, LLC Clinical Past Accepting new patients

Locations

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

1450 Venice East Blvd
Venice, FL 34292
Phone (941) 234-4577

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1588027585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 LEDBETTER AVE",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222040",
            "telephone_number": "706-715-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 LEDBETTER AVE",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222040",
            "telephone_number": "706-715-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABA",
        "first_name": "KATIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

Verify at the official NPI Registry.