PRISCILLA SHARON-GEORGIA BAKE LMSW NPI 1770225112

NPI Information

NPI: 1770225112
Provider Name: PRISCILLA SHARON-GEORGIA BAKE, LMSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
109 N ARTHUR AVE STE 203
POCATELLO, ID
ZIP 83204
Phone: (208) 234-4673
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Priscilla Sharon-georgia Bake, LMSW is a mental health counselor in Pocatello, ID. Priscilla Sharon-georgia Bake, LMSW NPI is 1770225112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

109 N ARTHUR AVE STE 203
POCATELLO, ID
ZIP 83204-105
Phone: (208) 234-4673

The enumeration date for this NPI number is 4/7/2022 and was last updated on 5/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LMSW-42222	IDAHO	Yes
2	104100000X	Social Worker		LSW-40865	IDAHO	No
3	104100000X	Social Worker		LMSW-42222	IDAHO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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