NPI 1972899052 · live from the CMS NPI Registry
Candace Baker
Social Worker, Clinical in Conway, AR. National Provider Identifier 1972899052, active.
NPI record
| NPI | 1972899052 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2223 Washington Ave Ste C, Conway, AR 72032 |
| Practice phone | 501-339-3860 |
| Enumerated | June 27, 2011 |
| Last updated | November 7, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 5057-C (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.