| Callie Michelle Baker, | |
|
26 Victory Noll Dr, Huntington, IN 46750-0037 | |
| (260) 355-3730 | |
| (260) 244-5435 |
| Full Name | Callie Michelle Baker |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 26 Victory Noll Dr, Huntington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770307738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34011511A (Indiana) | Primary |
| Entity Name | Park Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306897004 PECOS PAC ID: 5991794794 Enrollment ID: O20041213000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Callie Michelle Baker, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Callie Michelle Baker, 26 Victory Noll Dr, Huntington, IN 46750-0037 Ph: (260) 355-3730 |
Ms. Sally Eileen Herman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 552 N Jefferson, Huntington, IN 46750 Phone: 260-244-3427 | |
Mrs. Terra L Brunson-doll, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2860 Northpark Ave, Huntington, IN 46750 Phone: 260-356-2875 Fax: 260-356-0611 | |
Mary Ott, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2860 Northpark Ave, Huntington, IN 46750 Phone: 260-356-2875 | |
Pamela Viletta Stover, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1740 E 67 N, Lot 57 B, Huntington, IN 46750 Phone: 219-386-3600 Fax: 219-386-3660 |