Active NPI
Patricia Baldenegro
- Social Worker
- Bakersfield, CA
National Provider Identifier
1467581215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW125936
- Practice address
- 661 Roberts LN Ste B
Bakersfield, CA 93308-4723 - Phone
- (661) 393-5836
- NPI assigned
- Mar 5, 2007
- Last updated
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- No
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 | ASW125936 | CA | Primary |
| Clinical Social Worker | 1041C0700X | ASW86084 | CA |
Addresses
Primary practice location
661 Roberts LN Ste B
Bakersfield, CA 93308-4723
Mailing address
661 Roberts LN Ste B
Bakersfield, CA 93308-4723
Phone (661) 393-5836
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 |
|---|---|---|---|
| ASW125936 | CA | MD | Social Worker |
| ASW86084 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1467581215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 ROBERTS LN STE B",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933084723",
"telephone_number": "661-393-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 ROBERTS LN STE B",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933084723",
"telephone_number": "661-393-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDENEGRO",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW125936",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW86084",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.