Active NPI
Deanna Marie Baker, LMSW
- Social Worker
- Port Jefferson, NY
National Provider Identifier
1720923451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 129587
- Practice address
- 646 Main St
Port Jefferson, NY 11777-2235 - Phone
- (631) 802-2566
- NPI assigned
- Apr 20, 2026
- 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 | 129587 | NY | Primary |
Addresses
Primary practice location
646 Main St
Port Jefferson, NY 11777-2235
Mailing address
57 Abinet CT
Selden, NY 11784-2026
Phone (631) 335-0425
Other practice location 1
57 Abinet Ct
Selden, NY 11784-2026
Phone (631) 335-0425
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 |
|---|---|---|---|
| 129587 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1720923451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 ABINET CT",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842026",
"telephone_number": "631-335-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 MAIN ST",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772235",
"telephone_number": "631-802-2566"
}
],
"practiceLocations": [
{
"address_1": "57 Abinet Ct",
"address_purpose": "LOCATION",
"city": "Selden",
"state": "NY",
"postal_code": "117842026",
"country_code": "US",
"telephone_number": "631-335-0425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "DEANNA",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "129587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.