Active NPI
Kim Yvette Baker, LCSW-R
- Social Worker
- Englewood, NJ
National Provider Identifier
1598306193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R-071831
- Practice address
- 104 Marilyn CT
Englewood, NJ 07631-2318 - Phone
- (646) 522-4158
- NPI assigned
- Oct 4, 2019
- Last updated
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | R-071831 | NY | Primary |
Addresses
Primary practice location
104 Marilyn CT
Englewood, NJ 07631-2318
Mailing address
104 Marilyn CT
Englewood, NJ 07631-2318
Phone (646) 522-4158
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 |
|---|---|---|---|
| R-071831 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1598306193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MARILYN CT",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312318",
"telephone_number": "646-522-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MARILYN CT",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312318",
"telephone_number": "646-522-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "KIM",
"middle_name": "YVETTE",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R-071831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.