NPI 1295378289 · live from the CMS NPI Registry
Jordan Baker, LCSW
Social Worker, Clinical in Conway, AR. National Provider Identifier 1295378289, active.
NPI record
| NPI | 1295378289 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1500 Museum Rd, Conway, AR 72032 |
| Practice phone | 501-932-9010 |
| Mailing address | Po Box 497, Augusta, AR 72006 |
| Enumerated | October 22, 2019 |
| Last updated | April 22, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 9560-M (AR) |
| Social Worker, Clinical primary | 1041C0700X | 9560-C (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.