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PRISCILLA SHARON-GEORGIA BAKE LMSW
NPI 1770225112
Social Worker - Clinical in Hailey, ID

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment
1450 AVIATION DR, HAILEY, ID 83333(208) 727-8970(208) 727-8979 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2024, May 24, 2022, Apr 7, 2022 (3 updates tracked since 2022).

About Priscilla Sharon-georgia Bake Lmsw NPPES

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

PRISCILLA SHARON-GEORGIA BAKE LMSW (NPI 1770225112) is an individual clinical provider in Hailey, Idaho, licensed in Idaho (8861956) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with St Luke's Wood River Medical Center, and maintains a secondary practice location in Pocatello.

NPPES Registry Identity

NPI1770225112
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePRISCILLA SHARON-GEORGIA BAKECredential: LMSW
Location Address1450 AVIATION DRHailey, ID 83333-8785
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 727-8970
Fax(208) 727-8979
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 7, 2022
Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1770225112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · 8861956
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LMSW-42222 (ID)
Also ListedSocial WorkerTaxonomy 104100000X · License LSW-40865 (ID), LMSW-42222 (ID)
1450 AVIATION DR, Hailey, ID 83333
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Secondary Practice Location 1

Location 1109 N Arthur Ave Ste 203Pocatello, ID 83204-3105 · Phone (208) 234-4673

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priscilla Sharon-georgia Bake Lmsw 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 ID9739615345
PECOS Enrollment IDI20241205003745
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131323
Location100 Hospital DriveKetchum, ID 83340 · Blaine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83333 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 $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CORTNEY A VANDENBURGH DO
Family Medicine
1450 AVIATION DR, SUITE 100
HAILEY, ID 83333
Blaine County (208) 788-3434
MS. EMILY G KARASSIK PA-C
Physician Assistant
1450 AVIATION DR, SUITE 100
HAILEY, ID 83333
Blaine County (208) 788-3434
FRANK M BATCHA MD
Family Medicine
1450 AVIATION DR, SUITE 100
HAILEY, ID 83333
Blaine County (208) 788-3434
THOMAS E ARCHIE JR. M.D.
Family Medicine
1450 AVIATION DR, SUITE 100
HAILEY, ID 83333
Blaine County (208) 788-3434
KATHRYN A WOODS M.D.
Family Medicine
1450 AVIATION DR, SUITE 100
HAILEY, ID 83333
Blaine County (208) 788-3434
DR. KARIN MARIE LINDHOLM D.O.
Psychiatry & Neurology (Neurology)
1450 AVIATION DR, SUITE 203
HAILEY, ID 83333
Blaine County (208) 727-8295
AMY C DRUMM MD
Family Medicine
1450 AVIATION DR, STE 100
HAILEY, ID 83333
Blaine County (208) 788-3434
LOIS ADRIAN M.D.
Family Medicine
1450 AVIATION DR, SUITE 100
HAILEY, ID 83333
Blaine County (208) 788-3434

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 Priscilla Bake's NPI number?

The NPI number for Priscilla Bake is 1770225112. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Priscilla Bake located?

Priscilla Bake practices at 1450 Aviation Dr, Hailey, ID 83333. The listed phone number is (208) 727-8970.

What is Priscilla Bake's specialty?

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

Is Priscilla Bake enrolled in Medicare?

Yes. Priscilla Bake 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.

What insurance does Priscilla Bake accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Priscilla Bake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Priscilla Bake affiliated with any hospitals?

According to CMS data, Priscilla Bake is affiliated with St Luke's Wood River Medical Center.

When was this NPI record last updated?

The NPPES record for Priscilla Bake was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.