Provider Demographics
NPI:1235278375
Name:BAKER, CHRISTENA B (MSW, LIMHP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTENA
Middle Name:B
Last Name:BAKER
Suffix:
Gender:F
Credentials:MSW, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4939 S 118TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2213
Mailing Address - Country:US
Mailing Address - Phone:402-483-7879
Mailing Address - Fax:402-898-7750
Practice Address - Street 1:4700 VALLEY RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4846
Practice Address - Country:US
Practice Address - Phone:402-483-7879
Practice Address - Fax:402-898-7750
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21041C0700X
NE260101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE374101OtherMHN MANAGED HEALTH NETWOR
NE245569OtherMIDLANDS CHOICE
NE470398819OtherUNITED BEHAVIORAL HEALTH
NE85279OtherBCBS