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

Jeremiah Peter Baker, LCSW

Individual provider Clinical Social Worker · NPI 1700546421

Jeremiah Peter Baker, LCSW is a Clinical Social Worker in Meriden, Connecticut. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2021
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

250 Pomeroy Ave Ste 201I
Meriden, CT 06450-8316
Phone: (860) 919-6770
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 011844 (CT)

Record details

NPI number1700546421
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 21, 2021
Last updated in NPPESNovember 8, 2024
Certification dateNovember 5, 2024
Mailing address250 Pomeroy Ave Ste 201i, Meriden, CT 06450-8316

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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