Provider Demographics
NPI:1740208826
Name:STORY-BAKER, MARGUERITE ANN (LCSW AND SAP)
Entity Type:Individual
Prefix:MRS
First Name:MARGUERITE
Middle Name:ANN
Last Name:STORY-BAKER
Suffix:
Gender:F
Credentials:LCSW AND SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 WATT AVE STE 180
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-2698
Mailing Address - Country:US
Mailing Address - Phone:916-971-9006
Mailing Address - Fax:916-875-2035
Practice Address - Street 1:3550 WATT AVE STE 180
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2698
Practice Address - Country:US
Practice Address - Phone:916-971-9006
Practice Address - Fax:916-875-2035
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical