Healthcare Provider Details

I. General information

NPI: 1528235629
Provider Name (Legal Business Name): EMILY PERKINS BAKER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W VICTORIA ST STE BC
SANTA BARBARA CA
93101-3627
US

IV. Provider business mailing address

200 W VICTORIA ST STE BC
SANTA BARBARA CA
93101-3627
US

V. Phone/Fax

Practice location:
  • Phone: 707-738-3101
  • Fax:
Mailing address:
  • Phone: 707-738-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS 13719
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: