Individual provider Active NPI

Trisha Marie Lucero Baeza, PPSC, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1619855905
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120294 Issued in CA
Practice address
4524 N Thorne Ave
Fresno, CA 93704-3519
Phone
(559) 248-7310
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 120294 CA Primary

Addresses

Primary practice location

4524 N Thorne Ave
Fresno, CA 93704-3519

Mailing address

2011 Fresno St
Fresno, CA 93721-1722
Phone (559) 248-7310

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
120294CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1619855905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211722",
            "telephone_number": "559-248-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 N THORNE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937043519",
            "telephone_number": "559-248-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO BAEZA",
        "first_name": "TRISHA",
        "middle_name": "MARIE",
        "credential": "PPSC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.