Healthcare Provider Details

I. General information

NPI: 1750139697
Provider Name (Legal Business Name): MARGARET MARIE BAKER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 LINCOLN RD
WALPOLE MA
02081-1218
US

IV. Provider business mailing address

220 SOUTH ST
MEDFIELD MA
02052-3106
US

V. Phone/Fax

Practice location:
  • Phone: 617-347-3184
  • Fax: 508-734-1846
Mailing address:
  • Phone: 617-347-3184
  • Fax: 508-734-1846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: