Individual ProviderRegina Denise BakerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1030 Jefferson Ave, Memphis, TN 38104-2127(901) 523-8990(901) 853-3169PECOS EnrollmentBased on the most recent information from CMS, provider Regina Denise Baker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1497860647Provider TypeIndividualFull NameBaker, Regina DeniseTitleMrs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date8/20/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1030 Jefferson Ave, Memphis, TN 38104-2127Phone(901) 523-8990FaxUnlisted FaxMailing LocationMailing Address1740 Ghost Creek Dr, Collierville, TN 38017-3425Phone(901) 853-3169FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0000003483TennesseeCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense1794-CArkansas