NPI 1659666444 · live from the CMS NPI Registry
Shukairo Mack Baker, APRN, PMHNP-BC, LCSW
Nurse Practitioner, Psych/Mental Health in Rock Hill, SC. National Provider Identifier 1659666444, active.
NPI record
| NPI | 1659666444 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 455 Lakeshore Pkwy, Rock Hill, SC 29730 |
| Practice phone | 803-909-6363 |
| Enumerated | June 9, 2011 |
| Last updated | May 5, 2026 |
| Sole proprietor | No |
| Other names | Shukairo Townsend |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 0024194469 (VA) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 890763 (NV) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 317733 (AZ) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | AP70007419 (WA) |
| Social Worker, Clinical | 1041C0700X | 11094 (SC) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 13998789-4405 (UT) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | APRN11044782 (FL) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 13998789-8900 (UT) |
| Social Worker, Clinical | 1041C0700X | C008389 (NC) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | C-RXN.0102908-C-NP (CO) |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | C008389 (NC) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 31253A (SC) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 5020242 (NC) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 254611 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.