Provider Demographics
NPI:1407330558
Name:BAKER, LEAH SAWYER (CMSW, PLMHP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:SAWYER
Last Name:BAKER
Suffix:
Gender:F
Credentials:CMSW, PLMHP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:ANN
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2724 RIVERVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-1643
Mailing Address - Country:US
Mailing Address - Phone:402-344-7505
Mailing Address - Fax:
Practice Address - Street 1:2724 RIVERVIEW BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-1643
Practice Address - Country:US
Practice Address - Phone:402-344-7505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE115451041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool