1023117496 NPI number — MRS. NORA RALSTON BAKER MSW LCSWC

Table of content: MRS. NORA RALSTON BAKER MSW LCSWC (NPI 1023117496)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023117496 NPI number — MRS. NORA RALSTON BAKER MSW LCSWC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAKER
Provider First Name:
NORA
Provider Middle Name:
RALSTON
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW LCSWC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SMITH
Provider Other First Name:
NORA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1023117496
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
210 GORDON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAIRFIELD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17320-9123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
223-272-9439
Provider Business Mailing Address Fax Number:
717-334-4125

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 GORDON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17320-9123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
223-272-9439
Provider Business Practice Location Address Fax Number:
717-334-4125
Provider Enumeration Date:
09/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CW020710 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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