Individual provider Active NPI

Jennifer Loy Baker, LCSW

  • Clinical Social Worker
  • Marshall, AR
National Provider Identifier
1922250331
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
012-C Issued in AR
Practice address
316 Hwy 65 North
Marshall, AR 72650-7863
Phone
(870) 448-4727
Fax
(870) 448-4496
NPI assigned
Oct 16, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

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

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

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1922250331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 BLEAUX AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620737",
            "telephone_number": "479-872-5580",
            "fax_number": "479-872-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HWY 65 NORTH",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726507863",
            "telephone_number": "870-448-4727",
            "fax_number": "870-448-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JENNIFER",
        "middle_name": "LOY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "012-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.