Emerald Baker, LCSW
Individual provider Active NPI Clinical Social Worker · Bountiful, UT
NPI 1760162705 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1760162705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11218202-3501 (UT)
- Practice address
- 415 Medical Dr
Bountiful, UT 84010-4946 - Phone
- (385) 355-4216
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 11218202-3501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11218202-3501 | UT | Yes |
Addresses
Primary practice location
415 Medical Dr
Bountiful, UT 84010-4946
Mailing address
6998 W Saw Timber Way
West Jordan, UT 84081-1901
Phone (801) 809-7803
Other providers in Bountiful, UT
- Madison Bailey
- Marlee Bair
- Anthony J Baird
- Jessica Baird
- Michaela Baird
- Jessie Balicki
- Lindsey Ballard
- Jennifer M Bangs
- Saige Banks
- Michel Maroun Barakat
All providers in Bountiful, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. 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.