Baca, Lorraine

Baca, Lorraine is an sole proprietor health care provider with primary practice located at 1201 Atrisco Dr Sw Atrisco Es, Albuquerque NM 87105-3550. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Baca, Lorraine can be contacted via phone (505) 877-2772.

Contact Information

Primary practice address
1201 Atrisco Dr Sw Atrisco Es Albuquerque NM 87105-3550
Phone: (505) 877-2772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M 04992 New Mexico
Behavioral Health & Social Service Providers / School 1041S0200X M 04992 New Mexico

Profile Details

NPI number 1851429039
LBN Legal business name Baca, Lorraine
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851429039 NPPES
New Mexico MEDICAID 14675251

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