Individual provider Active NPI

Joanne T Baxter

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1861519134
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R045715 Issued in NY
Practice address
1025 Commons Way
Rochester, NY 14623
Phone
(585) 487-3514
Fax
(585) 487-3527
NPI assigned
Mar 23, 2007
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R045715 NY Primary

Addresses

Primary practice location

1025 Commons Way
Rochester, NY 14623

Mailing address

1025 Commons Way
Rochester, NY 14623
Phone (585) 487-3514

Other names 1

  • Joanne Trabold Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000866 NY Practitioner - Clinical Social Worker 3779528872 Practice locations: Rochester, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R045715NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Past Accepting new patients
Nysarc Inc Past Accepting new patients

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1861519134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 COMMONS WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-487-3514",
            "fax_number": "585-487-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 COMMONS WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-487-3514",
            "fax_number": "585-487-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "JOANNE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "TRABOLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.