Stacia Ann Van Baalen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5993 Issued in FL

Practice address

19001 SW 106TH Ave # C-103
Cutler Bay, FL 33157-7669

Phone

(786) 227-5000

NPI assigned

Mar 22, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1841750197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13041 SW 95TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765728",
            "telephone_number": "305-282-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 SW 106TH AVE # C-103",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577669",
            "telephone_number": "786-227-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BAALEN",
        "first_name": "STACIA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021AB",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Camille Valles
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• Lea Cristina Vargas
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• Ivonne Vazquez Alonso, RBT
• Leslie Vazquez Garcia
• Yaimara Vazquez Garcia

• Clinical Social Worker in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.