Organization
NANCY E BAKER LICSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY E BAKER LICSW PC (PRESIDENT)
(802) 649-5636
Entity
Organization
Contact information
Practice address
186 BEAVER MEADOW RD, NORWICH, VT 05055
(802) 649-5636
Mailing address
186 BEAVER MEADOW RD, NORWICH, VT 05055
(802) 649-5636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000102
VT
1041C0700X
Clinical Social Worker
3
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NBAK00059099
BCBS OF VT
VT
Enumeration date
11/20/2006
Last updated
08/22/2020
Update your record
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