Individual
MRS. KATHERINE S BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5659 S. STATE RD. 61, WINSLOW, IN 47598-0406
(812) 789-5434
(812) 789-2458
Mailing address
511 ADAMS ST, NEWBURGH, IN 47630-1303
(812) 858-9193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005206A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000656248
ANTHEM INSURANCE
IN
01
—
12090667
CAQH
IN
Enumeration date
03/08/2007
Last updated
07/03/2013
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