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

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.

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 (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

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LSW0000003157TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services Clinical Current
since Feb 14, 2014
Accepting new patients
Alliance Healthcare Services Current
since Feb 14, 2014
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Memphis, TN · Clinical Social Worker in Tennessee

Sources for this page

Verify at the official NPI Registry.