Individual provider Active NPI

Krystal Elizabeth Rainwater-Baker, LCSW/LMSW-C

  • Clinical Social Worker
  • Farwell, MI
National Provider Identifier
1831794965
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927060 Issued in CO
Practice address
268 E Ohio St
Farwell, MI 48622-9337
Phone
(218) 779-7712
NPI assigned
Dec 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X SS0000001210341 MI
Clinical Social Worker 1041C0700X CSW.09927060 CO Primary
Clinical Social Worker 1041C0700X 6801119090 MI

Addresses

Primary practice location

268 E Ohio St
Farwell, MI 48622-9337

Mailing address

4983 Ruby Dr
Gladwin, MI 48624-8922
Phone (218) 779-7712

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": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1831794965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4983 RUBY DR",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486248922",
            "telephone_number": "218-779-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 E OHIO ST",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229337",
            "telephone_number": "218-779-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINWATER-BAKER",
        "first_name": "KRYSTAL",
        "middle_name": "ELIZABETH",
        "credential": "LCSW/LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "SS0000001210341",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927060",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farwell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.