Julie R Baker, LCSW
Individual provider Active NPI Social Worker · Jay, OK
NPI 1851913552 · NPPES record last updated Aug 21, 2026
Key facts
- NPI
- 1851913552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 20611 (OK)
- Practice address
- 1015 W Washbourne St
Jay, OK 74346-4205 - Phone
- (918) 308-5513
- Fax
- (918) 786-4435
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- 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 |
|---|---|---|---|---|
| I20250220000948 | OK | Practitioner - Clinical Social Worker | 1254851314 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center, Inc. | Current |
Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current |
Accepting new patients |
Locations
1015 W Washbourne St
Jay, OK 74346
Phone (918) 253-4271
111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511
114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 20611 | OK | Yes |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1015 W Washbourne St
Jay, OK 74346-4205
Mailing address
1015 W Washbourne St
Jay, OK 74346-4205
Phone (918) 308-5513
Other names
- Julie Rae Bergman
Other providers in Jay, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2026. 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.