Provider Demographics
NPI:1932359221
Name:BAKER, VANESSA ROCKETT (MFT)
Entity Type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:ROCKETT
Last Name:BAKER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 EMBARCADERO STE 300
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-5300
Mailing Address - Country:US
Mailing Address - Phone:415-730-8418
Mailing Address - Fax:
Practice Address - Street 1:2000 EMBARCADERO STE 300
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-5300
Practice Address - Country:US
Practice Address - Phone:151-056-7819
Practice Address - Fax:510-577-5618
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 106H00000X
CAMFC45601106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker