| Angelita Baker, LCSW | |
|
49th Medical Group/sgopf, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 | |
| (575) 572-5676 | |
| (575) 572-2259 |
| Full Name | Angelita Baker |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 25 Years |
| Location | 49th Medical Group/sgopf, Holloman Afb, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356898613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-09475 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Sky Counseling Associates | 7012256175 | 9 |
| Entity Name | Blue Sky Counseling Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154809283 PECOS PAC ID: 7012256175 Enrollment ID: O20190307000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelita Baker, LCSW 49th Medical Group/sgow, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 Ph: (575) 572-5676 | Angelita Baker, LCSW 49th Medical Group/sgopf, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 Ph: (575) 572-5676 |
Mrs. Cathleen Adiva Mauricette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 1st St Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-5676 | |
Heidi Fenton, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 1st St Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-2778 | |
Mrs. Jahna Marie Perrine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 David L Goldfein St Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-7061 Fax: 575-572-1523 | |
Mary Patric, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 David L Goldfein St Bldg 23, Holloman Afb, NM 88330 Phone: 575-800-4205 | |
Mrs. Derandoria Ann Young, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 1st St, Bldg 17, Holloman Afb, NM 88330 Phone: 575-572-7061 | |
Ms. Virginia Marie Mckinley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Mdos/sgoh, 200 First Street, Holloman Afb, NM 88330 Phone: 505-572-5676 Fax: 505-572-2126 |