Provider Demographics
NPI:1821766759
Name:BAKER, ESTHER
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
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 1:2481 N DECATUR BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-2957
Mailing Address - Country:US
Mailing Address - Phone:702-527-6337
Mailing Address - Fax:702-979-9688
Practice Address - Street 1:2481 N DECATUR BLVD STE D
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-2957
Practice Address - Country:US
Practice Address - Phone:702-527-6337
Practice Address - Fax:702-979-9688
Is Sole Proprietor?:No
Enumeration Date:2021-09-03
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10682-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker