Provider Demographics
NPI:1467183491
Name:BAKER, CHLOE KAY
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:KAY
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 5TH AVE N UNIT 2107
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-7653
Mailing Address - Country:US
Mailing Address - Phone:513-722-6191
Mailing Address - Fax:
Practice Address - Street 1:3160 5TH AVE N UNIT 2107
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-7653
Practice Address - Country:US
Practice Address - Phone:513-722-6191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker