Emily Baker, LCSW
Individual provider Active NPI Clinical Social Worker · Bloomfield, CT
NPI 1780466912 · NPPES record last updated Oct 23, 2023
Key facts
- NPI
- 1780466912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 12779 (CT)
- Practice address
- 699 Bloomfield Ave
Bloomfield, CT 06002-2462 - Phone
- (860) 999-4431
- NPI assigned
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231213001447 | CT | Practitioner - Clinical Social Worker | 4486003647 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Zen Wellness Care | Clinical | Current |
Accepting new patients |
Locations
699 Bloomfield Ave
Ste 205
Bloomfield, CT 06002
Phone (860) 265-9309
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12779 | CT | Yes |
Addresses
Primary practice location
699 Bloomfield Ave
Bloomfield, CT 06002-2462
Mailing address
699 Bloomfield Ave
Bloomfield, CT 06002-2462
Phone (860) 999-4431
Other providers in Bloomfield, CT
- Lissette Baez
- Gail Bagley
- Qin Bai
- Robert Bailey
- Barrie Baker
- Balance Point Health LLC
- Balance Within Therapy Services LLC
- Christopher Balbo
- Saumitra R Banerjee
- Bernadette Banton
All providers in Bloomfield, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.