Individual provider · Type 1 NPI

Jeannette Madelene Baca, LISW

Clinical Social Worker · Santa Fe, NM

NPI number 1417145491 Active

Practice location

1918 Hopewell St, Unit A
Santa Fe, NM 87505-3856

Fax (505) 992-8905

Mailing address

PO Box 6338
Santa Fe, NM 87502-6338

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-06515 (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 1417145491

Jeannette Madelene Baca, LISW's National Provider Identifier is 1417145491, issued on Oct 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Fe, NM. The record was last updated on Oct 4, 2007.