Provider Demographics
NPI:1528235629
Name:BAKER, EMILY PERKINS (LCSW)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:PERKINS
Last Name:BAKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 ADAMS ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-1149
Mailing Address - Country:US
Mailing Address - Phone:707-738-3101
Mailing Address - Fax:707-942-8317
Practice Address - Street 1:999 ADAMS ST STE 300
Practice Address - Street 2:
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1149
Practice Address - Country:US
Practice Address - Phone:707-738-3101
Practice Address - Fax:707-942-8317
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 137191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical