Julia Susana Siu Baas, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Davis, CA
NPI 1669796181 · NPPES record last updated Dec 17, 2010
Key facts
- NPI
- 1669796181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 26172 (CA)
- Practice address
- 2051 John Jones Rd
Davis, CA 95616-9701 - Phone
- (530) 758-2060
- Fax
- (530) 758-8490
- NPI assigned
- Mar 26, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26172 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26172 | CA | Yes |
Addresses
Primary practice location
2051 John Jones Rd
Davis, CA 95616-9701
Mailing address
2051 John Jones Rd
Davis, CA 95616-9701
Phone (530) 758-2060
Other providers in Davis, CA
- Lybah Asad
- Attune Psychology California, P.C.
- Brett Anthony Atwood
- Marina Awed
- Lindsey M Ayala
- Chantel Bachman
- Stephanie Anne Bagley
- Lauren Michelle Bahr
- Ibrahim Javed Baig
- Eric Bailey
All providers in Davis, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.