National Provider Identifier
Susan A Baker Carr, LCSW-R
Susan A Baker Carr, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 379-3600.
Profile Overview
- NPI
- 1982773768
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 07, 2006
- Last Updated
- November 30, 2021
Practice Location
- 109 S Albany St Ste 101
- Ithaca, NY 14850-5482
Phone: (607) 379-3600
Mailing Address
- 120 E Buffalo St
- Ithaca, NY 14850-4266
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1982773768
- Entity Type
- Individual
- Last Name
- Baker Carr
- First Name
- Susan
- Middle Name
- A
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 120 E Buffalo St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4266
- Mailing Country
- US
- Mailing Phone
- (607) 379-3600
- Mailing Fax
- (607) 277-7690
- Practice Street Address
- 109 S Albany St Ste 101
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5482
- Practice Country
- US
- Practice Phone
- (607) 379-3600
- Practice Fax
- (607) 277-7690
- Enumeration Date
- November 07, 2006
- Last Updated
- November 30, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 30, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 11638742 (NY, Caqh), 20448Z080 (NY, BCBS)