Baker, Brenda K
Baker, Brenda K is an individual health care provider with primary practice located at 19 Road 3953 , Farmington NM 87401-7990. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Baker, Brenda K can be contacted via phone (505) 486-9942.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M-06619 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-07304 | New Mexico |
Profile Details
| NPI number | 1962677492 |
|---|---|
| LBN Legal business name | Baker, Brenda K |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Jan 26th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962677492 | NPPES |
| New Mexico | MEDICAID | 28005775 |
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