Theresa L Baides, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS19103 Issued in CA

Practice address

190 S Orchard Ave
Ste C230
Vacaville, CA 95688-3657

Phone

(707) 454-0641

Fax

(707) 864-1308

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breakthrough Counseling

  • Mental Health Counselor
  • Vacaville, CA
  • NPI 1285282525
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1457484263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S ORCHARD AVE",
            "address_2": "STE C230",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883657",
            "telephone_number": "707-454-0641",
            "fax_number": "707-864-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S ORCHARD AVE",
            "address_2": "STE C230",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883657",
            "telephone_number": "707-454-0641",
            "fax_number": "707-864-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIDES",
        "first_name": "THERESA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronjon Derrick Bacani
• Emily Bachleda
• Foyinsola Bademosi
• Lance Badgett, CHW
• Nargis Sarah Bahrami
• Valeria Alejandra Bailon, HIGH SCHOOL DIPLOMA
• Jamar Bajala
• Kulbir K Bajwa, M.D.
• Danica Bakker, PSY.D
• Colette Balbarova

• Clinical Social Worker in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.