MR. FRED BAXTER (LISW-S) – Clinical Social Worker, NPI 1053861914

Clinical Social Worker

MR. FRED BAXTER (LISW-S) is a healthcare provider. based in Franklin, Ohio. specializing in Clinical Social Worker. They hold the professional credentials LISW-S. They hold a License No. I.1501021 (OH). The NPI Number for MR. FRED BAXTER (LISW-S) is 1053861914

Main info

Male

Sole Proprietor

34 Years Of Experience

Accepts Medicare Assignment

Name

MR. FRED BAXTER (LISW-S)

NPI

1053861914

Phone

(513) 425-6669

Address

5501 RENAISSANCE PARK DR

Enumeration Date

4 October 2016

Last Update Date

4 October 2016

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

1992 (34 years ago)

PAC ID

6800172057

Group Practice PAC ID

3870498355

Professional Enrollment ID

I20170424002170

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience32

Completeness75

Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for MR. FRED BAXTER (LISW-S)

5501 RENAISSANCE PARK DR
FRANKLIN, OH 450059674
Phone: (513) 425-6669
Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 45005)

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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: 3870498355View full group profile

Name	Specialty	State
DR. TRACEY GOODMAN SKALE (M.D.)	-	OH
PEGGY FOSTER (CNS)	Certified Clinical Nurse Specialist (Cns)	OH
JOHN A ROFLOW (LPCC)	Nurse Practitioner	OH
RYAN P SEXTON	Physician Assistant	OH
AMANDA BETH SNYDER (APRN)	Nurse Practitioner	OH
JENNIFER ANNE JONES (FNP)	Nurse Practitioner	KY
EMILY M HAMPP	Mental Health Counselor	OH
DR. FABIANO GONCALVES NERY (M.D., PHD)	P S Y C H I A T R Y	OH
JESSICA N DEAN	-	OH
BRENDA JOYCE MCKINSTRY (MSN CPMHNP)	Nurse Practitioner	OH