Individual provider Active NPI

Allyssa Baker

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1609565159
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2026-0302 Issued in NM
Practice address
901 Rio Grande Blvd NW Ste G252
Albuquerque, NM 87104-2050
Phone
(505) 702-8112
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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 SWB-2026-0302 NM Primary

Addresses

Primary practice location

901 Rio Grande Blvd NW Ste G252
Albuquerque, NM 87104-2050

Mailing address

713 Broadway Blvd SE
Albuquerque, NM 87102-4207
Phone (813) 644-1129

Other names 1

  • Fern Baker Professional name

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

LicenseStateTypeSpecialty
SWB-2026-0302NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trail Ahead Therapy, LLC Social Worker CurrentSince Mar 20, 2025 Accepting new patients

Locations

901 Rio Grande Blvd NW
Ste G252
Albuquerque, NM 87104
Phone (505) 249-2798

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1609565159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 BROADWAY BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024207",
            "telephone_number": "813-644-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW STE G252",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042050",
            "telephone_number": "505-702-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ALLYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2026-0302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERN",
            "last_name": "BAKER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.