Provider Demographics
NPI:1326179540
Name:BAKER, KATHERINE S (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:S
Last Name:BAKER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-1303
Mailing Address - Country:US
Mailing Address - Phone:812-858-9193
Mailing Address - Fax:
Practice Address - Street 1:5659 S. STATE RD. 61
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:IN
Practice Address - Zip Code:47598-0406
Practice Address - Country:US
Practice Address - Phone:812-789-5434
Practice Address - Fax:812-789-2458
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005206A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN12090667OtherCAQH
IN000000656248OtherANTHEM INSURANCE