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General NPI Number Information
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NPI Number | 1467048637
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Entity Type | Individual
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Provider Name | LAKETIA DESHAWN BAKER DSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 6419 FAULKNER DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-6213
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Country | US
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Telephone | 804-496-1073
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Fax | 804-410-8003
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Provider Business Mailing Address
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Address Line | 10221 KRAUSE RD UNIT 624
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City | CHESTERFIELD
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State | VA
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Zip | 23832-1225
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Country | US
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Telephone | 804-496-1073
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Fax | 804-410-8003
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904014920
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11644-C
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06285000
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q5-0000057
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | TPSW3060
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C016649
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 32835
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License Number State | MD
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