Healthcare Provider Details

I. General information

NPI: 1215273016
Provider Name (Legal Business Name): SARA LEEANNE BAKER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/25/2012
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 SOUTHWOOD DR
NASHUA NH
03063-1818
US

IV. Provider business mailing address

2300 SOUTHWOOD DRIVE DARTMOUTH HITCHCOCK - PSYCHIATRY
NASHUA NH
03063
US

V. Phone/Fax

Practice location:
  • Phone: 603-650-6150
  • Fax:
Mailing address:
  • Phone: 603-650-6150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1696
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: