Healthcare Provider Details

I. General information

NPI: 1568297869
Provider Name (Legal Business Name): LAUREN FITCH BAKER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 S CALDERWOOD ST
ALCOA TN
37701-2105
US

IV. Provider business mailing address

241 S CALDERWOOD ST
ALCOA TN
37701-2105
US

V. Phone/Fax

Practice location:
  • Phone: 865-214-7008
  • Fax:
Mailing address:
  • Phone: 865-214-7008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9522
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: