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JEAN M BAKER LCSW-R
NPI 1164664934
Social Worker - Clinical in Clinton, NY

Active since March 25, 2009Opted out of Medicare · through Nov 12, 2027
3 FOUNTAIN ST, SUITE 201, CLINTON, NY 13323(315) 292-4834 Get Directions Write a Review

NPPES record last updated: October 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jean M Baker Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN M BAKER LCSW-R (NPI 1164664934) is an individual clinical provider in Clinton, New York, licensed in New York (R058181-1) and active in the NPI registry since March 2009. She has opted out of Medicare through November 12, 2027.

NPPES Registry Identity

NPI1164664934
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEAN M BAKERCredential: LCSW-R
Location Address3 FOUNTAIN ST, SUITE 201Clinton, NY 13323-1745
Mailing Address3 Fountain St, Suite 201Clinton, NY 13323-1745 · (315) 292-4834
Phone(315) 292-4834
Sole ProprietorYes
Enumeration DateMarch 25, 2009
Last NPPES UpdateOctober 15, 2016
✔ NPI 1164664934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R058181-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3 FOUNTAIN ST, Clinton, NY 13323
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jean M Baker Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 12, 2023 through November 12, 2027.

Opt-Out Effective DateNovember 12, 2023
Opt-Out In Effect ThroughNovember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Baker's NPI number?

The NPI number for Jean Baker is 1164664934. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Where is Jean Baker located?

Jean Baker practices at 3 Fountain St Suite 201, Clinton, NY 13323. The listed phone number is (315) 292-4834.

What is Jean Baker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jean Baker enrolled in Medicare?

No. Jean Baker has opted out of Medicare through November 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jean Baker was last updated on October 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.