Provider Demographics
NPI:1689879991
Name:BAKER, LISA MARCHAK (LCSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARCHAK
Last Name:BAKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 LAMBETH DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2413
Mailing Address - Country:US
Mailing Address - Phone:412-851-9572
Mailing Address - Fax:
Practice Address - Street 1:301 CAMPMEETING RD
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-8773
Practice Address - Country:US
Practice Address - Phone:412-749-2879
Practice Address - Fax:412-741-1958
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW013491L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1419468OtherBLUE CROSS