Individual provider · Type 1 NPI

Mary Jo Ranells Baca, LMSW, MPH

Clinical Social Worker · Los Lunas, NM

NPI number 1811015837 Active

Practice location

2112 Main St NE, Suite A
Los Lunas, NM 87031-6353

Fax (505) 865-3268

Mailing address

617 Edith Blvd NE, #5
Albuquerque, NM 87102-2570

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XM-06042 (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 1811015837

Mary Jo Ranells Baca, LMSW, MPH's National Provider Identifier is 1811015837, issued on Mar 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Lunas, NM. The record was last updated on Jul 8, 2007.