Provider Demographics
NPI:1457142663
Name:BAKER, CHRISTINE MONIQUE (LMSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MONIQUE
Last Name:BAKER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3544 COPPER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6839
Mailing Address - Country:US
Mailing Address - Phone:769-216-5631
Mailing Address - Fax:
Practice Address - Street 1:3544 COPPER RIDGE DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-6839
Practice Address - Country:US
Practice Address - Phone:769-216-5631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112131104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker