Jennifer Loy Baker, LCSW

Individual provider Active NPI Clinical Social Worker · Marshall, AR

NPI 1922250331 · NPPES record last updated Oct 16, 2008

Key facts

NPI
1922250331
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
012-C (AR)
Practice address
316 Hwy 65 North
Marshall, AR 72650-7863
Phone
(870) 448-4727
Fax
(870) 448-4496
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
012-CARMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 012-C AR Yes

Addresses

Primary practice location

316 Hwy 65 North
Marshall, AR 72650-7863

Mailing address

5537 Bleaux Ave
Springdale, AR 72762-0737
Phone (479) 872-5580

Other providers in Marshall, AR

All providers in Marshall, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.