Michelle Marie Baker, LISW-S
Social Worker, Clinical in Mentor, OH. Individual provider (NPI-1).
NPI number1992018303
StatusActive
Last updated in NPPESFeb 4, 2021
Details
- NPI
- 1992018303
- Entity type
- Individual (NPI-1)
- Name
- Michelle Marie Baker
- Credential
- LISW-S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2010
- Certification date
- Feb 4, 2021
- Last updated
- Feb 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.1451027-SUPV | OH | Yes |
| 104100000X | Social Worker | – | – |
Other names
- Michelle Marie Allen (Former Name)
Practice location
7232 Justin WayMentor, OH 44060-4881
Phone 440-578-8200
Mailing address
7232 Justin WayMentor, OH 44060-4881
Phone 440-578-8200
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