Dorothy Chaffee Baker in Springfield - Clinical

Dorothy Chaffee Baker - NPI 1104046721

Dorothy Chaffee Baker is a Clinical in Springfield, Missouri. Dorothy Chaffee Baker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dorothy Chaffee Baker is 1104046721. The last update date is 2022-01-28.

Dorothy Chaffee Baker's current location address is 1300 E Bradford Pkwy, Springfield, Missouri. You can contact this provider via phone number 4177615000 and fax number 4177615011. The mailing address for Dorothy Chaffee Baker is 1300 E Bradford Pkwy, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Dorothy Chaffee Baker
Address 1300 E Bradford Pkwy, Springfield, Missouri
Phone Number 4177615000
Fax Number 4177615011
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1104046721
Provider Enumeration Date 2007-04-26
Last Updated Date 2022-01-28

Provider Mailing Address Detail

Address 1300 E Bradford Pkwy
City Springfield
State Missouri (MO)
Post Code 658044264
Phone Number 4177615000
Fax Number 4177615011

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2016039766
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LW00009193 WA WA STATE LICENSE
490076847 MO --

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FAQs about Dorothy Chaffee Baker

What is the unique identifier code issued to Dorothy Chaffee Baker by the Centers for Medicare & Medicaid Services?

The Dorothy Chaffee Baker has been assigned the NPI (National Provider Identifier) 1104046721. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Dorothy Chaffee Baker?

The Dorothy Chaffee Baker is physically situated at 1300 E Bradford Pkwy, in the city of Springfield, state of MO, with the postal code 658044264.

What is Dorothy Chaffee Baker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dorothy Chaffee Baker's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Dorothy Chaffee Baker receive its 1104046721 assignment from the Centers for Medicare & Medicaid Services?

The Dorothy Chaffee Baker was assigned its 1104046721 by the Centers for Medicare & Medicaid Services on 2007-04-26.

As of what date was the information pertaining to Dorothy Chaffee Baker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dorothy Chaffee Baker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-01-28.

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