Wellformed AI

NPI 1982853479 · live from the CMS NPI Registry

Amber Laverne Baker, LCSW

Social Worker, Clinical in Jacksonville, AR. National Provider Identifier 1982853479, active.

NPI record

NPI1982853479 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location1200 James Street, Jacksonville, AR 72076
Practice phone501-982-5000
Mailing address1815 Pleasant Grove Road, Jonesboro, AR 72401
EnumeratedSeptember 9, 2008
Last updatedMarch 1, 2016
Sole proprietorNo
Other namesAmber Hawthorne

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X2410-C (AR)
Social Worker, Clinical1041C0700X2094 M (AR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.