Stacy Baker, LICSW | |
4628 Main Street, Newbury, VT 05051-9172 | |
(802) 222-3000 | |
Not Available |
Full Name | Stacy Baker |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4628 Main Street, Newbury, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225807258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3184 (New Hampshire) | Secondary |
1041C0700X | Social Worker - Clinical | 089.0135588 (Vermont) | Primary |
Entity Name | Little Rivers Health Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033163555 PECOS PAC ID: 8224031497 Enrollment ID: O20061003000417 |
Mailing Address | Practice Location Address |
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Stacy Baker, LICSW 4628 Main Street, Po Box 8, Newbury, VT 05051-9172 Ph: (802) 222-3000 | Stacy Baker, LICSW 4628 Main Street, Newbury, VT 05051-9172 Ph: (802) 222-3000 |
Susan Hanewald, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1341 Tucker Mountain Rd, Newbury, VT 05051 Phone: 802-356-6565 | |
Allison Jean Line-andrews, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4628 Main St., Newbury, VT 05051 Phone: 802-274-5120 | |
Mrs. Renee Lynne Schulze, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4628 Main Street, Newbury, VT 05051 Phone: 802-299-7654 Fax: 802-866-3012 |