Baronsky, Keith Schade

Baronsky, Keith Schade is an individual health care provider with primary practice located at 60 Mdg/Sgow 101 Bodin Cir, Travis Afb CA 94535-1800. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baronsky, Keith Schade can be contacted via phone (707) 423-5168.

Contact Information

Primary practice address
60 Mdg/Sgow 101 Bodin Cir Travis Afb CA 94535-1800
Phone: (707) 423-5168
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C000673 North Carolina

Profile Details

NPI number 1679689178
LBN Legal business name Baronsky, Keith Schade
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 4th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679689178 NPPES
Other 13261 BCBS
MEDICAID 6002060 BCBS

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