Individual provider Active NPI

Theresa Baker, LCSW

  • Clinical Social Worker
  • Lancaster, PA
National Provider Identifier
1972077337
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013356 Issued in PA
Practice address
1808 Colonial Village LN Unit 103
Lancaster, PA 17601-6745
Phone
(717) 940-4269
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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 CW013356 PA Primary

Addresses

Primary practice location

1808 Colonial Village LN Unit 103
Lancaster, PA 17601-6745

Mailing address

34 Spring Hill LN
Mountville, PA 17554-1050
Phone (717) 940-4269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190227001666 PA Practitioner - Clinical Social Worker 2860731338 Reassigns benefits to 3 organizations
Practice locations: Lancaster, PA; Mountville, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

34 Spring Hill LN
Mountville, PA 17554-1050
Phone (717) 940-4269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013356PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Apr 19, 2021 Accepting new patients
Lancaster General Medical Group Clinical Current Accepting new patients
Lancaster General Medical Group CurrentSince Apr 19, 2021 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 14, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2102 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3600

690 Good Dr
Fl 2
Lancaster, PA 17601
Phone (717) 544-0700

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 5

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1972077337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SPRING HILL LN",
            "city": "MOUNTVILLE",
            "state": "PA",
            "postal_code": "175541050",
            "telephone_number": "717-940-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 COLONIAL VILLAGE LN UNIT 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016745",
            "telephone_number": "717-940-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.