Provider Demographics
NPI:1558079335
Name:BAKER-ALCIDE, MARKICHA (RCSWI)
Entity Type:Individual
Prefix:
First Name:MARKICHA
Middle Name:
Last Name:BAKER-ALCIDE
Suffix:
Gender:F
Credentials:RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20504 NW 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2396
Mailing Address - Country:US
Mailing Address - Phone:786-287-0885
Mailing Address - Fax:
Practice Address - Street 1:20504 NW 8TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-2396
Practice Address - Country:US
Practice Address - Phone:786-287-0885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL162431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16243Medicaid