Individual provider Active NPI

Regina Lynn Baker, LSW

  • Social Worker
  • Tallmadge, OH
National Provider Identifier
1841744422
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S. 1600163 Issued in OH
Practice address
30 Northwest Ave # 120
Tallmadge, OH 44278-1808
Phone
(330) 633-4187
NPI assigned
Aug 11, 2016
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S. 1600163 OH Primary

Addresses

Primary practice location

30 Northwest Ave # 120
Tallmadge, OH 44278-1808

Mailing address

30 Northwest Ave # 120
Tallmadge, OH 44278-1808
Phone (330) 633-4187

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S. 1600163OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Children's Home of Ohio PastSince Sep 1, 2019 Accepting new patients
Christian Children's Home of Ohio PastSince Jun 22, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cchoo/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1841744422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NORTHWEST AVE # 120",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781808",
            "telephone_number": "330-633-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTHWEST AVE # 120",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781808",
            "telephone_number": "330-633-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "REGINA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S. 1600163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.