Individual provider · Type 1 NPI

Marisa C. de Baca, LCSW

Clinical Social Worker · Taos, NM

NPI number 1356020291 Active

Practice location

105 Bertha Rd
Taos, NM 87571-7148

Call (575) 758-4297 Map

Fax (575) 751-4237

Mailing address

4 San Francisco St Unit 377
Ranchos De Taos, NM 87557-4016

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWB-2026-0383 (NM)

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 1356020291

Marisa C. de Baca, LCSW's National Provider Identifier is 1356020291, issued on Jul 17, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taos, NM. The record was last updated on Oct 13, 2026.