| Loretta Baker, LCSW | |
|
1059 Barton Dr, Fordland, MO 65652-7350 | |
| (417) 767-2273 | |
| (417) 767-4054 |
| Full Name | Loretta Baker |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 26 Years |
| Location | 1059 Barton Dr, Fordland, Missouri |
| 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 |
|---|---|---|---|
| 1023210911 | NPI | - | NPPES |
| 1023210911 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2003017994 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Specialty Group Pa | 8921466228 | 726 |
| Big Springs Medical Association | 6709871007 | 53 |
| Entity Name | Big Springs Medical Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695 |
| Entity Name | Fordland Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881607612 PECOS PAC ID: 5597794552 Enrollment ID: O20050913000367 |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20250213001241 |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta Baker, LCSW 1059 Barton Dr, Fordland, MO 65652-7350 Ph: (417) 767-2273 | Loretta Baker, LCSW 1059 Barton Dr, Fordland, MO 65652-7350 Ph: (417) 767-2273 |
Dave Gooden, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1194 Green Hill Rd, Fordland, MO 65652 Phone: 417-767-2490 |
Mrs. Ronica Jean Duncan, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1059 Barton Dr, Fordland, MO 65652 Phone: 417-767-2273 Fax: 417-767-4054 |