| Miss Brenda Lou Baker, LCSW,LADAC | |
|
4210 N Frontage Rd, Suite 3, Fayetteville, AR 72703-5001 | |
| (479) 409-1400 | |
| (479) 301-2305 |
| Full Name | Miss Brenda Lou Baker |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 25 Years |
| Location | 4210 N Frontage Rd, Fayetteville, Arkansas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861786436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1765-C (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pt Concepts Pllc | 1951669852 | 18 |
| Entity Name | Pt Concepts Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164931291 PECOS PAC ID: 1951669852 Enrollment ID: O20171226000989 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Brenda Lou Baker, LCSW,LADAC 940 W Boone St, Fayetteville, AR 72701-6813 Ph: (479) 409-1400 | Miss Brenda Lou Baker, LCSW,LADAC 4210 N Frontage Rd, Suite 3, Fayetteville, AR 72703-5001 Ph: (479) 409-1400 |
Courtney Elaine Goodrum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-443-5575 | |
Ernestine Dickson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 S East Ave, Fayetteville, AR 72701 Phone: 501-313-1033 | |
Heather Leann Zimmerman, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1384 S Splash Dr, Fayetteville, AR 72701 Phone: 501-764-8757 | |
Nancy Lou Webb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 W. Sunbridge, Fayetteville, AR 72703 Phone: 479-725-5224 Fax: 479-750-8967 | |
Carla E Williams, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 905 W Eden Cir, Fayetteville, AR 72701 Phone: 479-409-6167 Fax: 479-587-8703 | |
Jordan Hughes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2354 N Montana Ave, Fayetteville, AR 72704 Phone: 501-690-3633 | |
Kerri Vollmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2592 N Gregg Ave, Suite 16, Fayetteville, AR 72703 Phone: 479-582-5565 |