Individual provider Active NPI

Heather (Heti) Baker, LCSW, LCAT, ATR-BC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1902213077
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077823-1 Issued in NY
Practice address
80 East 11TH Street
Suite 208
New York, NY 10003
Phone
(347) 276-8259
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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 077823-1 NY Primary
Art Therapist 221700000X 000245-1 NY

Addresses

Primary practice location

80 East 11TH Street
Suite 208
New York, NY 10003

Mailing address

80 East 11TH Street
Suite 208
New York, NY 10003

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
I20171211000062 NY Practitioner - Clinical Social Worker 7517225014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077823-1NYMDClinical Social Worker
000245-1NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Reid LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients
Jewish Board of Family and Children'S Services, Inc Past Accepting new patients

Locations

26 Court St
Brooklyn, NY 11242
Phone (718) 283-8225

113 University Pl
Fl 11
New York, NY 10003
Phone (412) 465-0513

113 University Pl
New York, NY 10003
Phone (917) 902-4248

113 University Pl
Fl 8
New York, NY 10003
Phone (347) 460-6588

928 Broadway
Ste 900
New York, NY 10010
Phone (443) 552-5179

928 Broadway
New York, NY 10010
Phone (908) 336-7744

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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1902213077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EAST 11TH STREET",
            "address_2": "SUITE 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EAST 11TH STREET",
            "address_2": "SUITE 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "347-276-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "HEATHER (HETI)",
        "credential": "LCSW, LCAT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077823-1",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000245-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.