MICHAEL BAKER LCSW
NPI 1245959808
Social Worker - Clinical in Cranston, RI

Active since August 25, 2022PECOS EnrolledAccepts Medicare Assignment
85.24/100
CMS Quality Rating

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Baker Lcsw NPPES

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

MICHAEL BAKER LCSW (NPI 1245959808) is an individual clinical provider in Cranston, Rhode Island, licensed in Rhode Island (CSW02567) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245959808
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL BAKERCredential: LCSW
Location Address25 LEE STCranston, RI 02920-1741
Mailing Address25 Lee StCranston, RI 02920-1741 · (401) 523-6850
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 25, 2022
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1245959808 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 RI · CSW02567
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.
25 LEE ST, Cranston, RI 02920

Secondary Practice Location 1

Location 1530 N Main StProvidence, RI 02904-5762 · Phone (401) 274-2500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Baker Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648655928
PECOS Enrollment IDI20220922002815
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Baker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
530 N MAIN ST
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 76 clinicians in this Medicare group
Clinical
17 ADELPHI AVE
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • 95 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
143 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost52.8

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 Michael Baker's NPI number?

The NPI number for Michael Baker is 1245959808. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Michael Baker located?

Michael Baker practices at 25 Lee St, Cranston, RI 02920. The listed phone number is (401) 523-6850.

What is Michael Baker's specialty?

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

Is Michael Baker enrolled in Medicare?

Yes. Michael Baker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Baker reassigns Medicare benefits to 2 organizations: The Providence Center Inc (Providence, RI) and Supportive Care I Of Rhode Island PC (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Baker was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.