Active NPI
Kelly Michelle Baker, LGSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1922496538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50082186
- Practice address
- 2319 Good Hope CT SE Apt 203
Washington, DC 20020-3683 - Phone
- (202) 904-5260
- NPI assigned
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50082186 | DC | Primary |
| Social Worker | 104100000X | LG50080904 | DC |
Addresses
Primary practice location
2319 Good Hope CT SE Apt 203
Washington, DC 20020-3683
Mailing address
2319 Good Hope CT SE Apt 203
Washington, DC 20020-3683
Phone (202) 904-5260
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kellymbaker77@gmail.com | Direct | |
| Other URL | kellymbaker77@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG50080904 | DC | MD | Social Worker |
| LC50082186 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Health Care, Inc. | Current | Accepting new patients | |
| Unity Health Care Inc. | Current | Accepting new patients | |
| Strengthening Prides Mental Health Services | Clinical | Current | Accepting new patients |
Locations
1500 Galen St SE
Washington, DC 20020
Phone (202) 610-7160
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
-
- Clinical Social Worker
- Washington, DC
- NPI 1811521529
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1346014412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1922496538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2319 GOOD HOPE CT SE APT 203",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200203683",
"telephone_number": "202-904-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2319 GOOD HOPE CT SE APT 203",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200203683",
"telephone_number": "202-904-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "KELLY",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50082186",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG50080904",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kellymbaker77@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2319 Good Hope Ct SE Apt 203",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200203683",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kellymbaker77@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2319 Good Hope Ct SE Apt 203",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200203683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.