Individual
MS. CATHY ELLEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00804
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036840
NHPRI
RI
01
—
21492-8
BLUE CROSS
PR
01
—
407825
BLUE CHIP
PR
Enumeration date
01/16/2007
Last updated
07/28/2010
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