Individual
DANETTE A BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0340
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34002842
IN
1041C0700X
Clinical Social Worker
Primary
34002842A
IN
106H00000X
Marriage & Family Therapist
34002842A
IN
106H00000X
Marriage & Family Therapist
35000617A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001562663
ANTHEM PTAN
IN
01
—
000001619022
ANTHEM PTAN
IN
05
—
300008917
—
IN
Enumeration date
05/16/2006
Last updated
05/09/2025
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