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

Primary practice address
19 Road 3953 Farmington NM 87401-7990
Phone: (505) 486-9942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1962677492 NPPES
New Mexico MEDICAID 28005775

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