Individual provider Active NPI

Kelly Michelle Baker, LGSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1922496538
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50082186 Issued in DC
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

Updated by the provider on Mar 3, 2020

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822003445 DC Practitioner - Clinical Social Worker 6608315585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG50080904DCMDSocial Worker
LC50082186DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Aug 8, 2024 Accepting new patients
Unity Health Care Inc. CurrentSince Aug 8, 2024 Accepting new patients
Strengthening Prides Mental Health Services Clinical CurrentSince Mar 9, 2020 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.

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

Verify at the official NPI Registry.