MARISSA BAKER (MSW) – Clinical Social Worker, NPI 1093354540

MARISSA BAKER (MSW) is a healthcare provider. based in New london, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 10824 (CT). The NPI Number for MARISSA BAKER (MSW) is 1093354540

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA BAKER (MSW)
NPI
1093354540
Phone
(860) 271-4783
Address
21 Montauk Ave
Enumeration Date
2 January 2020
Last Update Date
2 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6038651321
Graduation Year
2016 (10 years ago)
PAC ID
5193152916
Group Practice PAC ID
0042369910
Professional Enrollment ID
I20200413000516
Address ID
NH037552715HA2XXXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

2,187 CLINICAL SOCIAL WORKER in CT

Provider Addresses for MARISSA BAKER (MSW)

  • 21 Montauk Ave

    New London, CT 063204906

    Phone: (860) 271-4783

    Type: Location

  • 35 NEWPORT RD

    NEW LONDON, NH 032575413

    Phone: (603) 865-1321

    Fax: (603) 865-1327

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200413000516IClinical Social WorkerNHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042369910View full group profile
NameSpecialtyState
Mental Health CounselorNH
Mental Health CounselorNH
Clinical Social WorkerNH
Mental Health CounselorNH
Mental Health CounselorNH
Mental Health CounselorNH
Mental Health CounselorNH
Clinical Social WorkerNH
Mental Health CounselorNH
Mental Health CounselorNH

Reviews

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Frequently asked questions

How do payers reference MARISSA BAKER (MSW)?
For MARISSA BAKER (MSW), use NPI 1093354540 as the unique 10-digit identifier.
Active or inactive — what applies to MARISSA BAKER (MSW)?
You should see MARISSA BAKER (MSW) as active in CMS-hosted NPPES data.
What clinical focus is listed for MARISSA BAKER (MSW)?
At a glance, MARISSA BAKER (MSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Connecticut is MARISSA BAKER (MSW) registered?
Use New London, Connecticut as the headline location for MARISSA BAKER (MSW) here.
Does MARISSA BAKER (MSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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