Eleanor C Baldwin, MSW
Individual provider Active NPI Clinical Social Worker · Keswick, VA
NPI 1730454893 · NPPES record last updated Mar 21, 2012
Key facts
- NPI
- 1730454893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904004975 (VA)
- Practice address
- 844 Club Dr
Keswick, VA 22947-2614 - Phone
- (434) 923-8670
- Fax
- (434) 923-8679
- NPI assigned
- Mar 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904004975 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904004975 | VA | Yes |
Addresses
Primary practice location
844 Club Dr
Keswick, VA 22947-2614
Mailing address
844 Club Dr
Keswick, VA 22947-2614
Phone (434) 923-8679
Other providers in Keswick, VA
All providers in Keswick, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.