Active NPI
Mildred F. Baker, LCSW
- Mental Health Counselor
- Martinsburg, PA
National Provider Identifier
1770541237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CW016550
- Practice address
- 328 Bassler St
Martinsburg, PA 16662-1417 - Phone
- (814) 934-0303
- Fax
- (814) 793-0916
- NPI assigned
- May 3, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CW016550 | PA | Primary |
Addresses
Primary practice location
328 Bassler St
Martinsburg, PA 16662-1417
Mailing address
328 Bassler St
Martinsburg, PA 16662-1417
Phone (814) 934-0303
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW012321L | Other | PA | STATE SOCIAL WORK LICENSE |
| 0077163600005 | Medicaid | PA | |
| CW016550 | Other | PA | LCSW |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1770541237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 BASSLER ST",
"city": "MARTINSBURG",
"state": "PA",
"postal_code": "166621417",
"telephone_number": "814-934-0303",
"fax_number": "814-793-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 BASSLER ST",
"city": "MARTINSBURG",
"state": "PA",
"postal_code": "166621417",
"telephone_number": "814-934-0303",
"fax_number": "814-793-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MILDRED",
"middle_name": "F.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "CW016550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE SOCIAL WORK LICENSE",
"identifier": "SW012321L",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0077163600005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "CW016550",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.