Individual provider Active NPI

William Baker, LCSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1972633659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000003157 Issued in TN
Practice address
2150 Whitney Ave
Memphis, TN 38127-6662
Phone
(901) 353-5440
Fax
(901) 353-5464
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LSW0000003157 TN Primary

Addresses

Primary practice location

2150 Whitney Ave
Memphis, TN 38127-6662

Mailing address

2150 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 353-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20050824001072 TN Practitioner - Clinical Social Worker 9234160763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 ServicesGroup PAC ID 4082766621, 28 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000003157TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services Clinical CurrentSince Feb 14, 2014 Accepting new patients
Alliance Healthcare Services CurrentSince Feb 14, 2014 Accepting new patients

Locations

2100 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

2579 Douglass Ave
Memphis, TN 38114
Phone (901) 369-1418

2673 Yale Ave
Memphis, TN 38112
Phone (901) 262-4112

3200 Broad Ave
Memphis, TN 38112
Phone (901) 577-9400

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.