Individual
AMY KATHLEEN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2501 ATRIUM DR STE 250, RALEIGH, NC 27607-6452
(919) 923-4648
Mailing address
2501 ATRIUM DR STE 250, RALEIGH, NC 27607-6452
(919) 923-4648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007051
NC
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007932
—
NC
Enumeration date
09/08/2011
Last updated
02/24/2022
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