Active NPI
Jeremy Edward Baker
- Social Worker
- Hagerstown, MD
National Provider Identifier
1851902415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 26215
- Practice address
- 44 N Potomac St
Hagerstown, MD 21740-4855 - Phone
- (240) 513-6001
- NPI assigned
- Aug 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW137197 | PA | |
| Social Worker | 104100000X | 26215 | MD | Primary |
Addresses
Primary practice location
44 N Potomac St
Hagerstown, MD 21740-4855
Mailing address
43 E 2ND St
Waynesboro, PA 17268-1639
Phone (520) 210-2412
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW137197 | PA | MD | Social Worker |
| 26215 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597536000000",
"number": "1851902415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 E 2ND ST",
"city": "WAYNESBORO",
"state": "PA",
"postal_code": "172681639",
"telephone_number": "520-210-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 N POTOMAC ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217404855",
"telephone_number": "240-513-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "JEREMY",
"middle_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-16",
"last_updated": "2020-08-16",
"certification_date": "2020-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW137197",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "26215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.