NICOLE BACA CPSW NPI 1316515299

NPI Information

NPI: 1316515299
Provider Name: NICOLE BACA, CPSW
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
320 OSUNA RD NE STE H4
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 345-2778
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Nicole 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. Nicole Baca, CPSW NPI is 1316515299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

320 OSUNA RD NE STE H4
ALBUQUERQUE, NM
ZIP 87107-955
Phone: (505) 345-2778

The enumeration date for this NPI number is 6/16/2021 and was last updated on 6/16/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist		1142	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1142	OTHER	NEW MEXICO	CPSW NUMBER

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

NPI Synchronization or Removal

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