Brenda Lou Baker, L.C.S.W.,L.A.D.A.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1765-C Issued in AR

Practice address

4210 N Frontage Rd
Suite 3
Fayetteville, AR 72703-5001

Phone

(479) 409-1400

Fax

(479) 301-2305

NPI assigned

Jun 1, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

PT Concepts PLLC 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PT Concepts, PLLC

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1164931291

  AR

  Medicare reassignment Care Compare group NPD
• My Therapy LLC

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1598633091
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1861786436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W BOONE ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016813",
            "telephone_number": "479-409-1400",
            "fax_number": "479-301-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 N FRONTAGE RD",
            "address_2": "SUITE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035001",
            "telephone_number": "479-409-1400",
            "fax_number": "479-301-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRENDA",
        "middle_name": "LOU",
        "name_prefix": "Miss",
        "credential": "L.C.S.W.,L.A.D.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1765-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey A Bailey, LPC
• Elizabeth Ann Bainbridge, M.A., CCC-SLP
• Adrianna Baker, DO
• Alana Makenzie Baker
• Bonnie Jean Lynch Baker, M.D.
• Cheyenne Baker
• Crystal Raye Baker, LPC
• Don Baker, RPH
• Ellie Anne Baker, PA-C
• Ethan Baker

• All providers in Fayetteville, AR
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.