Individual provider · Type 1 NPI

Corliss Margaret Baca, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1083781421 Active

Practice location

2901 Meadow Lark Dr
San Diego, CA 92123-2711

Fax (858) 541-5221

Mailing address

1575 Sunset Cliffs Blvd
San Diego, CA 92107-3433

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10653 (CA)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083781421

Corliss Margaret Baca, LCSW's National Provider Identifier is 1083781421, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.