Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henry Shelton Baise, LCSW

Individual provider Clinical Social Worker · NPI 1780635102

Henry Shelton Baise, LCSW is a Mental Health Counselor in Muncie, Indiana. Qualified in 1973, 53 years ago. Licensed in Indiana.

Years since qualifying
53
Licensed in
IN
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone: (765) 288-1928
Fax: (765) 741-0340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34002157A (IN)

Record details

NPI number1780635102
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Not indicated

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