Individual provider · Type 1 NPI

Lupita Pena-Baltazar, QMHA

Clinical Social Worker · Woodburn, OR

NPI number 1104050947 Active

Practice location

1310 Meridian Dr
Woodburn, OR 97071-9668

Call (503) 953-0310 Map

Fax (503) 386-0439

Mailing address

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XL10733 (OR)

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 1104050947

Lupita Pena-Baltazar, QMHA's National Provider Identifier is 1104050947, issued on May 7, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodburn, OR. The record was last updated on Apr 17, 2025.