Individual provider Active NPI

Chisha Ida Maxine Nwobilor Baker

  • Clinical Social Worker
  • Smyrna, TN
National Provider Identifier
1982596763
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9815 Issued in TN
Practice address
521 Stonecrest Pkwy Ste 102
Smyrna, TN 37167-6897
Phone
(615) 247-6831
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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 9815 TN Primary

Addresses

Primary practice location

521 Stonecrest Pkwy Ste 102
Smyrna, TN 37167-6897

Mailing address

521 Stonecrest Pkwy Ste 102
Smyrna, TN 37167-6897
Phone (615) 247-6831

Other practice location 1

2961 S Rutherford Blvd Apt A3
Murfreesboro, TN 37130-6057
Phone (615) 728-7640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250926004190 TN Practitioner - Clinical Social Worker 7911402011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1370 Mendota Heights Rd
Mendota Heights, MN 55120-1281

521 Stonecrest Pkwy
Suite 102
Smyrna, TN 37167-6804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9815TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RH Mental Health, LLC CurrentSince Jul 30, 2025 Accepting new patients

Locations

1608 Williams Dr
Ste 301
Murfreesboro, TN 37129
Phone (615) 653-4115

521 Stonecrest Pkwy
Ste 102
Smyrna, TN 37167
Phone (615) 247-6831

Organizations & group practices 1

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": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1982596763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 STONECREST PKWY STE 102",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676897",
            "telephone_number": "615-247-6831",
            "fax_number": "615-728-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 STONECREST PKWY STE 102",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676897",
            "telephone_number": "615-247-6831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2961 S Rutherford Blvd Apt A3",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371306057",
            "country_code": "US",
            "telephone_number": "615-728-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOBILOR BAKER",
        "first_name": "CHISHA",
        "middle_name": "IDA MAXINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.