NPI 1861786436 · live from the CMS NPI Registry
Brenda Lou Baker, L.C.S.W.,L.A.D.A.C.
Social Worker, Clinical in Fayetteville, AR. National Provider Identifier 1861786436, active.
NPI record
| NPI | 1861786436 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 4210 N Frontage Rd, Suite 3, Fayetteville, AR 72703 |
| Practice phone | 479-409-1400 |
| Mailing address | 940 W Boone St, Fayetteville, AR 72701 |
| Enumerated | June 1, 2011 |
| Last updated | October 1, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 1765-C (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.