Garrett Baker, LCSW
Individual provider Active NPI Clinical Social Worker · Bristol, VA
NPI 1801487335 · NPPES record last updated Jan 28, 2021
Key facts
- NPI
- 1801487335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904010470 (VA)
- Practice address
- 816 Chippewa Dr
Bristol, VA 24201-2908 - Phone
- (276) 696-1077
- NPI assigned
- Jan 28, 2021
- Sex
- Male
- 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 |
|---|---|---|---|
| 0904010470 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904010470 | VA | Yes |
Addresses
Primary practice location
816 Chippewa Dr
Bristol, VA 24201-2908
Mailing address
816 Chippewa Dr
Bristol, VA 24201-2908
Phone (276) 696-1077
Other providers in Bristol, VA
- Applegate Health Services, Inc
- Rachel M Arnold
- Victoria Paige Atwell
- Auxilio Dental Group
- Charldeen Justice Bagwell
- Laura Baldwin
- McKinsley Bales
- Julianna Bankhead
- Ralph E Barker
- Jennifer Lee Barnett
All providers in Bristol, 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 Jan 28, 2021. 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.