Active NPI
Anita Lynn Baca, LMSW
- School Social Worker
- Rio Rancho, NM
National Provider Identifier
1407004286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 329990
- Practice address
- 7001 Chayote Rd NE
Rio Rancho, NM 87144-6211 - Phone
- (505) 771-2366
- Fax
- (505) 771-2369
- NPI assigned
- Sep 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-06842 | NM | |
| School Social Worker | 1041S0200X | 329990 | NM | Primary |
Addresses
Primary practice location
7001 Chayote Rd NE
Rio Rancho, NM 87144-6211
Mailing address
9605 Rosas Ave NE
Albuquerque, NM 87109-6607
Phone (505) 410-7087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-06842 | NM | MD | Social Worker |
| 329990 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1407004286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9605 ROSAS AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871096607",
"telephone_number": "505-410-7087",
"fax_number": "505-771-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 CHAYOTE RD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871446211",
"telephone_number": "505-771-2366",
"fax_number": "505-771-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "ANITA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-06842",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "329990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.