Individual provider Active NPI

Thomas P. Baker, L.C.S.W.

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1881629038
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003363 Issued in VA
Practice address
101 N Lynnhaven Rd
Ste 103
Virginia Beach, VA 23452-7523
Phone
(757) 437-0008
Fax
(757) 437-0019
NPI assigned
Jul 12, 2006
Last updated
May 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2016

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 0904003363 VA Primary

Addresses

Primary practice location

101 N Lynnhaven Rd
Ste 103
Virginia Beach, VA 23452-7523

Mailing address

101 N Lynnhaven Rd
Ste 103
Virginia Beach, VA 23452-7523
Phone (757) 486-6955

Other identifiers 1

IdentifierTypeStateIssuer
8901091MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060823000612 VA Practitioner - Clinical Social Worker 0345243747 Reassigns benefits to 1 organization
Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Colonial Psychotherapy ServicesGroup PAC ID 2264334069, 12 clinicians

Practice addresses (Care Compare)

1232 Perimeter Pkwy
Suite 206
Virginia Beach, VA 23454-5924
Phone 75742875000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Colonial Psychotherapy Services CurrentSince Jul 1, 2017 Accepting new patients

Locations

1232 Perimeter Pkwy
Ste 206
Virginia Beach, VA 23454
Phone (757) 428-7500

921 First Colonial Rd
Ste 1711
Virginia Beach, VA 23454
Phone (757) 428-7500

Organizations & group practices 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1881629038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N LYNNHAVEN RD",
            "address_2": "STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527523",
            "telephone_number": "757-486-6955",
            "fax_number": "757-486-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N LYNNHAVEN RD",
            "address_2": "STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527523",
            "telephone_number": "757-437-0008",
            "fax_number": "757-437-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "THOMAS",
        "middle_name": "P.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901091",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.