Provider Demographics
NPI:1366156002
Name:BAKER, ANNE K (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:K
Last Name:BAKER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 W TRINITY AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-1743
Mailing Address - Country:US
Mailing Address - Phone:859-321-3107
Mailing Address - Fax:
Practice Address - Street 1:916 W TRINITY AVE APT 5
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-1743
Practice Address - Country:US
Practice Address - Phone:859-321-3107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0153241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical