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VINCENT PAUL BACA CPSW NPI 1275127581


NPI Information

NPI: 1275127581
Provider Name: VINCENT PAUL BACA, CPSW
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM
ZIP 87111
Phone: (505) 217-1717
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Vincent Paul Baca, CPSW is a peer specialist in Albuquerque, NM. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Vincent Paul Baca, CPSW NPI is 1275127581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9201 MONTGOMERY BLVD NE # 5
ALBUQUERQUE, NM
ZIP 87111-468
Phone: (505) 217-1717
Fax: (505) 213-0041

The enumeration date for this NPI number is 2/26/2021 and was last updated on 2/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer Specialist979NEW MEXICOYes
2175T00000XPeer SpecialistNEW MEXICONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1979OTHERNEW MEXICOCERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.