Individual
DANETTE A BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
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
Update your record
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