| Susan M Baker, Lcsw Inc | |
|
404 Washington St Ste 201-2 Columbus IN 47201-6791 | |
| (812) 372-3473 | |
| Not Available |
| Full Name | Susan M Baker, Lcsw Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 404 Washington St Ste 201-2, Columbus, Indiana |
| Authorized Official Name and Position | Susan M Baker (PRESIDENT) |
| Authorized Official Contact | 8123723473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Baker, Lcsw Inc 674 Royal Saint George Dr Greenwood IN 46143-1939 Ph: (812) 372-3473 | Susan M Baker, Lcsw Inc 404 Washington St Ste 201-2 Columbus IN 47201-6791 Ph: (812) 372-3473 |
| NPI Number | 1609473529 |
|---|---|
| Provider Enumeration Date | 10/04/2020 |
| Last Update Date | 10/04/2020 |
| Certification Date | 10/04/2020 |
| Medicare PECOS PAC ID | 7416367057 |
|---|---|
| Medicare Enrollment ID | O20201110001125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609473529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Susan M Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861653917 PECOS PAC ID: 4587721576 Enrollment ID: I20090318000419 |
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