Active NPI
Keith Schade Baronsky, LCSW
- Clinical Social Worker
- Travis AFB, CA
National Provider Identifier
1679689178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C000673
- Practice address
- 60 MDG/Sgow
101 Bodin Cir
Travis AFB, CA 94535-1800 - Phone
- (707) 423-5168
- NPI assigned
- Aug 21, 2006
- Last updated
- Dec 4, 2015
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C000673 | NC | Primary |
Addresses
Primary practice location
60 MDG/Sgow
101 Bodin Cir
Travis AFB, CA 94535-1800
Mailing address
60 MDG/Sgow
101 Bodin Cir
Travis AFB, CA 94535-1800
Phone (707) 423-5168
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13261 | Other | BCBS | |
| 6002060 | Medicaid | NC |
Other names 1
- Keith Stephenson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Psychiatric Associates, PA | Clinical | Past | Accepting new patients |
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, 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": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1679689178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MDG/SGOW",
"address_2": "101 BODIN CIR",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351800",
"telephone_number": "707-423-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MDG/SGOW",
"address_2": "101 BODIN CIR",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351800",
"telephone_number": "707-423-5168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARONSKY",
"first_name": "KEITH",
"middle_name": "SCHADE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C000673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "13261",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002060",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KEITH",
"last_name": "STEPHENSON",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Travis AFB, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.