# NANCY E BAKER LICSW PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154495349
- **Authorized official:** MS. NANCY E BAKER LICSW PC (PRESIDENT)
- **Authorized official phone:** (802) 649-5636

## Contact information

- **Practice address:** 186 BEAVER MEADOW RD, NORWICH, VT 05055
- **Practice address phone:** (802) 649-5636
- **Mailing address:** 186 BEAVER MEADOW RD, NORWICH, VT 05055
- **Mailing address phone:** (802) 649-5636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0890000102 | VT | Yes |
| 1041C0700X | Clinical Social Worker | 3 | NH | — |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NBAK00059099 | BCBS OF VT | VT |