Provider Demographics
NPI:1992960678
Name:BAKER, JOSEY ELIZABETH (LCSW,PPSC)
Entity type:Individual
Prefix:MS
First Name:JOSEY
Middle Name:ELIZABETH
Last Name:BAKER
Suffix:
Gender:F
Credentials:LCSW,PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2133 SACRAMENTO ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-1904
Mailing Address - Country:US
Mailing Address - Phone:510-559-0187
Mailing Address - Fax:
Practice Address - Street 1:2133 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94702-1904
Practice Address - Country:US
Practice Address - Phone:510-559-0187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health