| Baker Senior Center Naples Inc | |
|
6200 Autumn Oaks Ln Naples FL 34119-8633 | |
| (239) 325-4444 | |
| (239) 330-7947 |
| Full Name | Baker Senior Center Naples Inc |
|---|---|
| Speciality | Social Worker |
| Location | 6200 Autumn Oaks Ln, Naples, Florida |
| Authorized Official Name and Position | Jaclynn I Faffer (CEO) |
| Authorized Official Contact | 2393254444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Senior Center Naples Inc 6200 Autumn Oaks Ln Naples FL 34119-8633 Ph: (239) 325-4444 | Baker Senior Center Naples Inc 6200 Autumn Oaks Ln Naples FL 34119-8633 Ph: (239) 325-4444 |
| NPI Number | 1295455988 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Medicare PECOS PAC ID | 2668842451 |
|---|---|
| Medicare Enrollment ID | O20230112002458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295455988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pamela Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427353440 PECOS PAC ID: 8628252517 Enrollment ID: I20200901001323 |
| Provider Name | Jaclynn I Faffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104881846 PECOS PAC ID: 7517869654 Enrollment ID: I20230112002424 |
| Provider Name | Geralyn Poletti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942352737 PECOS PAC ID: 5991176216 Enrollment ID: I20230125001223 |
| Provider Name | Catherine Boniello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568163269 PECOS PAC ID: 9032574199 Enrollment ID: I20230426000068 |
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