Carly Forbes Baker, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111151 Issued in MA

Practice address

50 Adams St
Newton, MA 02460-1461

Phone

(508) 641-2628

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carly Baker

  dba Forbes Associates

  • Clinical Social Worker
  • Newton, MA
  • NPI 1811191067
  NPD (past) Authorized official
• Clara Martin Center

  • Community/Behavioral Health Agency
  • Randolph, VT
  • NPI 1386710861
  NPD (past)
• Clara Martin Center

  • Community/Behavioral Health Agency
  • Randolph, VT
  • NPI 1548060015
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881801256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HILL ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414204",
            "telephone_number": "508-641-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ADAMS ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601461",
            "telephone_number": "508-641-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CARLY",
        "middle_name": "FORBES",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111151",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890001069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baig Smiles PLLC (Complete Dental of Newton)
• Laurence Scott Bailen, M.D.
• Mary Christine Bailey, MD
• Aja Louise Bairos
• J Randolph Bak, MD
• Elizabeth J. Baker, PH.D.
• Frank J Balboa, DMD
• Beth Baldwin, MA
• James Balousek Richardson
• Jennifer Rose Balukonis, APRN

• Clinical Social Worker in Newton, MA
• Providers in Newton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.