Individual provider · Type 1 NPI

Samantha Baca

Clinical Social Worker · Taos, NM

NPI number 1134847973 Active

Practice location

105 Bertha Rd Ste B
Taos, NM 87571-7148

Call (575) 758-4297 Map

Mailing address

207 E Mesa Ave
Gallup, NM 87301-6145

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWB-2023-0172 (NM)
Peer Specialist 175T00000XNone listed

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 1134847973

Samantha Baca's National Provider Identifier is 1134847973, issued on Aug 18, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taos, NM. The record was last updated on May 21, 2025.