Basic Information
| Provider Information | |||||||||
| NPI: | 1427771112 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MICHELLE BAKER CONSULTING, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 309 BARNEYVILLE RD | ||||||||
| Address2: | |||||||||
| City: | SWANSEA | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027773368 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4013596566 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21 LEONARD AVE | ||||||||
| Address2: | |||||||||
| City: | EAST PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029143711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4013596566 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/19/2022 | ||||||||
| LastUpdateDate: | 09/19/2022 | ||||||||
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| AuthorizedOfficialLastName: | BAKER | ||||||||
| AuthorizedOfficialFirstName: | MICHELLE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4013596566 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LICSW | ||||||||
| NPICertificationDate: | 09/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.