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

Sandra S Baker, LICSW

Individual provider Clinical Social Worker · NPI 1629561634

Sandra S Baker, LICSW is a Clinical Social Worker in Dupont, Washington. Qualified in 2018, 8 years ago. Practices with Cowlitz Indian Tribe, a 25-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1000 Davis Pl
Dupont, WA 98327-8781
Phone: (360) 946-2498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 61208126 (WA)

Record details

NPI number1629561634
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 13, 2018
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing addressPo Box 2429, Longview, WA 98632-8486

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cowlitz Indian Tribe — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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