Jeannette Madelene Baca in Santa Fe - Clinical

Jeannette Madelene Baca - NPI 1417145491

Jeannette Madelene Baca is a Clinical in Santa Fe, New Mexico. Jeannette Madelene Baca practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeannette Madelene Baca is 1417145491. The last update date is 2007-10-04.

Jeannette Madelene Baca's current location address is Po Box 6338, Santa Fe, New Mexico. You can contact this provider via phone number 5059928900 and fax number 5059928905. The mailing address for Jeannette Madelene Baca is Po Box 6338, Santa Fe, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeannette Madelene Baca
Address Po Box 6338, Santa Fe, New Mexico
Phone Number 5059928900
Fax Number 5059928905
Sole Proprietor N
Credentials LISW

NPI Number Detail

NPI Number 1417145491
Provider Enumeration Date 2007-10-04
Last Updated Date 2007-10-04

Provider Mailing Address Detail

Address Po Box 6338
City Santa Fe
State New Mexico (NM)
Post Code 875026338
Phone Number 5059928900
Fax Number 5059928905

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No I-06515
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Jeannette Madelene Baca

What is the unique provider identifier assigned to Jeannette Madelene Baca?

The Jeannette Madelene Baca has been issued the NPI (National Provider Identifier) 1417145491 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Jeannette Madelene Baca's physical address?

The Jeannette Madelene Baca is physically located at Po Box 6338, in the city of Santa Fe, NM, with the postal code 875026338.

What is Jeannette Madelene Baca's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jeannette Madelene Baca is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1417145491 to Jeannette Madelene Baca?

The Centers for Medicare & Medicaid Services originally issued the 1417145491 to Jeannette Madelene Baca on 2007-10-04.

When was the information pertaining to Jeannette Madelene Baca most recently updated or revised?

The details related to Jeannette Madelene Baca, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-04.

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