MEDICARE: NICOLE BAKER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ACSW86151	CA
2	1041C0700X	Clinical Social Worker	LCSW112723	CA

General Provider Information

NPI Number	:	1881160836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE BAKER LCSW

Provider Business Mailing Address
First Line	:	10925 HARTSOOK ST APT 314
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-4770
Country	:	US
Telephone Number	:	661-993-9844
Fax Number	:

Provider Business Practice Location Address
First Line	:	10925 HARTSOOK ST APT 314
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-4770
Country	:	US
Telephone Number	:	661-993-9844
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2018
Last Update Date	:	08/19/2025

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Directions to “ NICOLE BAKER LCSW” Practice Location

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