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NPI Code Detail

MEDICARE: FRANK BAKER LISW

MEDICARE: FRANK BAKER LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.1500722OH
21041C0700XClinical Social WorkerI.2507557OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992178180
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK BAKER LISW
Provider Business Mailing Address
First Line : 1251 NILLES RD STE 5
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-7205
Country : US
Telephone Number : 513-939-0300
Fax Number : 513-939-0310
Provider Business Practice Location Address
First Line : 1251 NILLES RD STE 5
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-7205
Country : US
Telephone Number : 513-939-0300
Fax Number : 513-939-0310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2015
Last Update Date : 12/16/2025

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Directions to “ FRANK BAKER LISW” Practice Location

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