Patricia Ann Baxter, LCSWR

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R026696 Issued in NY

Practice address

201 East Coreen St
Suite 500 Alcohol Drug Council of Tompkins Co
Ithaca, NY 14850

Phone

(607) 274-6288

Fax

(607) 274-6280

NPI assigned

Jul 25, 2007

Last updated

Jul 25, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Patricia B McDonald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1629268743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EAST COREEN ST",
            "address_2": "SUITE 500 ALCOHOL DRUG COUNCIL OF TOMPKINS CO",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-274-6288",
            "fax_number": "607-274-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EAST COREEN ST",
            "address_2": "SUITE 500 ALCOHOL DRUG COUNCIL OF TOMPKINS CO",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-274-6288",
            "fax_number": "607-274-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R026696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSWR",
            "identifier": "R02291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MCDONALD",
            "middle_name": "B",
            "prefix": "MS.",
            "credential": "LCSWR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Bates, DO
• Thaddeus Bates
• Sarah Batschelet
• Jared Bauer, PT, DPT
• Brandi E Baum, CASAC-T
• Franziska Bayer, MA
• Kathryn Beach
• Gary Hampton Beachum, M.D.
• Jessica Beachy
• Danielle Bean

• Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.