Provider Demographics
NPI:1669008678
Name:BAIRD, DESIREE
Entity type:Individual
Prefix:MRS
First Name:DESIREE
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 JUNEAU AVE UNIT D
Mailing Address - Street 2:
Mailing Address - City:JBER
Mailing Address - State:AK
Mailing Address - Zip Code:99505-1212
Mailing Address - Country:US
Mailing Address - Phone:757-712-4536
Mailing Address - Fax:
Practice Address - Street 1:1333 JUNEAU AVE UNIT D
Practice Address - Street 2:
Practice Address - City:JBER
Practice Address - State:AK
Practice Address - Zip Code:99505-1212
Practice Address - Country:US
Practice Address - Phone:757-712-4536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-21
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW167101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical