Baker, Amber Laverne
Baker, Amber Laverne is an individual health care provider with primary practice located at 1200 James Street , Jacksonville AR 72076-3143. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baker, Amber Laverne can be contacted via phone (501) 982-5000.Contact Information
Primary practice address
1200 James Street
Jacksonville AR 72076-3143
Phone: (501) 982-5000
Fax: (501) 982-5007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2410-C | Arkansas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2094 M | Arkansas |
Profile Details
| NPI number | 1982853479 |
|---|---|
| LBN Legal business name | Baker, Amber Laverne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2008 |
| Last updated | Mar 1st, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982853479 | NPPES |
| Arkansas | Other | 5V935 | BCBS |
| Arkansas | MEDICAID | 170062795 | BCBS |
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