Provider Demographics
NPI:1811879760
Name:BAKER, HANNAH MARIE (LGSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:BAKER
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 HWY 55 STE 300
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-6389
Mailing Address - Country:US
Mailing Address - Phone:651-387-2234
Mailing Address - Fax:
Practice Address - Street 1:10000 HWY 55 STE 300
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-6389
Practice Address - Country:US
Practice Address - Phone:651-387-2234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN35089104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker