Healthcare Provider Details

I. General information

NPI: 1447180559
Provider Name (Legal Business Name): LILLIAN HALLE BAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8307 TELEGRAPH RD APT 392
ODENTON MD
21113-1377
US

IV. Provider business mailing address

8307 TELEGRAPH RD
ODENTON MD
21113-1371
US

V. Phone/Fax

Practice location:
  • Phone: 301-613-1207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: