Individual provider Active NPI

Anita Lynn Baca, LMSW

  • School Social Worker
  • Rio Rancho, NM
National Provider Identifier
1407004286
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
329990 Issued in NM
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

Updated by the provider on Sep 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
M-06842NMMDSocial Worker
329990NMMDSchool 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.

Verify at the official NPI Registry.