Provider Demographics
NPI:1124560347
Name:BAKER, DANIELLE (LISW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 CRANSTON DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1712
Mailing Address - Country:US
Mailing Address - Phone:937-901-1253
Mailing Address - Fax:
Practice Address - Street 1:3150 CRANSTON DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1712
Practice Address - Country:US
Practice Address - Phone:937-901-1253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-07
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.20023091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical