Sandra Dee Baker, LMSW
Social Worker, Clinical in South Windsor, CT. Individual provider (NPI-1).
NPI number1386413490
StatusActive
Last updated in NPPESDec 29, 2023
Details
- NPI
- 1386413490
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sandra Dee Baker
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2023
- Certification date
- Dec 29, 2023
- Last updated
- Dec 29, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9373 | CT | Yes |
Other names
- Sandra Dee Fulgham (Former Name)
Practice location
90 Lisa DrSouth Windsor, CT 06074-1836
Phone 860-461-6695
Mailing address
90 Lisa DrSouth Windsor, CT 06074-1836
Phone 860-461-6695
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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