Individual provider Active NPI

Nicole Baker, LCSW

  • Clinical Social Worker
  • North Hollywood, CA
National Provider Identifier
1881160836
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW112723 Issued in CA
Practice address
10925 Hartsook St Apt 314
North Hollywood, CA 91601-4770
Phone
(661) 993-9844
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ACSW86151 CA
Clinical Social Worker 1041C0700X LCSW112723 CA Primary

Addresses

Primary practice location

10925 Hartsook St Apt 314
North Hollywood, CA 91601-4770

Mailing address

10925 Hartsook St Apt 314
North Hollywood, CA 91601-4770
Phone (661) 993-9844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250701003617 CA Practitioner - Clinical Social Worker 9335652494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACSW86151CAMDClinical Social Worker
LCSW112723CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services of California, PC Clinical CurrentSince Jun 18, 2025 Accepting new patients
Darrell Broaddus Psychological Services PC Past Accepting new patients

Locations

1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1881160836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10925 HARTSOOK ST APT 314",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014770",
            "telephone_number": "661-993-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10925 HARTSOOK ST APT 314",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014770",
            "telephone_number": "661-993-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW86151",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW112723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.