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

Priscilla Sharon-Georgia Bake, LMSW

Individual provider Mental Health Counselor · NPI 1770225112

Priscilla Sharon-Georgia Bake, LMSW is a Clinical Social Worker in Hailey, Idaho. Qualified in 2022, 4 years ago. Practices with St Lukes Clinic - Wood River LLC, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
Specialties on file
4
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1450 Aviation Dr
Hailey, ID 83333-8785
Phone: (208) 727-8970
Fax: (208) 727-8979
Show map & directions

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

Additional practice locations (1)

  • 109 N Arthur Ave Ste 203, Pocatello, ID 83204-3105 — (208) 234-4673

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8861956 (ID)
Mental Health Counselor Taxonomy 101YM0800X · Licence LMSW-42222 (ID)
Social Worker Taxonomy 104100000X · Licence LSW-40865 (ID)
Social Worker Taxonomy 104100000X · Licence LMSW-42222 (ID)

Record details

NPI number1770225112
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedApril 7, 2022
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Lukes Clinic - Wood River Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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