Provider Demographics
NPI:1619015492
Name:BAKER, JOYCE ELLEN (LBSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ELLEN
Last Name:BAKER
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 OAKBROOK E
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1126
Mailing Address - Country:US
Mailing Address - Phone:248-650-0097
Mailing Address - Fax:
Practice Address - Street 1:27041 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-6674
Practice Address - Country:US
Practice Address - Phone:586-759-9100
Practice Address - Fax:586-759-9176
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802001794104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker