Doctor Name: | JANICE BAER |
NPI Number: | 1871805846 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 111427 |
Business Practice Address: | 65 Edgartown/vineyard Haven Road Oak Bluffs, MA - 02568 |
Business Phone Number: | 5085602199 |
Business Fax Number: | |
Mailing Address: | Po Box 2202, OAK BLUFFS |
State: | MA |
Postal Code: | 02557 |
Phone Number: | 5085602199 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2010 |
NPI Last Update Date: | 07/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 111427 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |