William Baker, LCSW
Individual provider Active NPI Clinical Social Worker · Memphis, TN
NPI 1972633659 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972633659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSW0000003157 (TN)
- Practice address
- 2150 Whitney Ave
Memphis, TN 38127-6662 - Phone
- (901) 353-5440
- Fax
- (901) 353-5464
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alliance Healthcare Services
Practice addresses (Care Compare)
2100 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 353-5440
2150 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 353-5440
3200 Broad Ave
Memphis, TN 38112-3104
Phone (901) 577-9400
3810 Winchester Rd
Memphis, TN 38118-6045
Phone (901) 369-1400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050824001072 | TN | Practitioner - Clinical Social Worker | 9234160763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000003157 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Healthcare Services | Clinical | Current |
Accepting new patients |
| Alliance Healthcare Services | Current |
Accepting new patients |
Locations
2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480
2100 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440
3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400
2579 Douglass Ave
Memphis, TN 38114
Phone (901) 369-1418
3200 Broad Ave
Memphis, TN 38112
Phone (901) 577-9400
2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440
2673 Yale Ave
Memphis, TN 38112
Phone (901) 262-4112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000003157 | TN | Yes |
Addresses
Primary practice location
2150 Whitney Ave
Memphis, TN 38127-6662
Mailing address
2150 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 353-5440
NPI Registry JSON
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972633659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 WHITNEY AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381276662",
"telephone_number": "901-353-5440",
"fax_number": "901-353-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 WHITNEY AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381276662",
"telephone_number": "901-353-5440",
"fax_number": "901-353-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000003157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Regina Denise Baker
- Robin Renee Baker
- Sharon Baker
- Suzanne Elaine Baker
- Whitney Baker
- Joshua Nissi Christian Bakke
- Sophia Teresa Bakker
- Madhurita Bakshi
- Vasanthi Balaraman
- Louisa Balazs
All providers in Memphis, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.