Provider Demographics
NPI:1134350762
Name:BAKER, ARLENE KAY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:KAY
Last Name:BAKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SOUTH BRIAR HOLLOW LANE, #402
Mailing Address - Street 2:SUITE 402
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3166
Mailing Address - Country:US
Mailing Address - Phone:281-497-8113
Mailing Address - Fax:713-623-2972
Practice Address - Street 1:17 SOUTH BRIAR HOLLOW LANE
Practice Address - Street 2:SUITE 402
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3166
Practice Address - Country:US
Practice Address - Phone:281-497-8113
Practice Address - Fax:713-623-2972
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical