Provider Demographics
NPI:1417929555
Name:BAKER, FAITH IRENE (MSW, LISW)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:IRENE
Last Name:BAKER
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 80 BOX 17356
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96367
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC 487
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:FP
Practice Address - Zip Code:96362
Practice Address - Country:US
Practice Address - Phone:01181-311-6437
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0009643104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker