Active NPI
Mackenzie Mae Baker, LISW
- Clinical Social Worker
- Dubuque, IA
National Provider Identifier
1750130365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124322
- Practice address
- 2600 Dodge St Ste D4
Dubuque, IA 52003-7161 - Phone
- (563) 341-7031
- NPI assigned
- May 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 124322 | IA | Primary |
Addresses
Primary practice location
2600 Dodge St Ste D4
Dubuque, IA 52003-7161
Mailing address
2600 Dodge St Ste D5
Dubuque, IA 52003-7161
Phone (563) 341-7031
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 |
|---|---|---|---|
| 124322 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1750130365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 DODGE ST STE D5",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520037161",
"telephone_number": "563-341-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 DODGE ST STE D4",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520037161",
"telephone_number": "563-341-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MACKENZIE",
"middle_name": "MAE",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-15",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "124322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.