Danelle Baca, LMSW | |
700 Friedman Ave, Las Vegas, NM 87701-4231 | |
(505) 454-5100 | |
Not Available |
Full Name | Danelle Baca |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 21 Years |
Location | 700 Friedman Ave, Las Vegas, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841302932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | M05392 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State Of New Mexico | 2062412869 | 15 |
Entity Name | State Of New Mexico |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992867998 PECOS PAC ID: 2062412869 Enrollment ID: O20091021000191 |
Mailing Address | Practice Location Address |
---|---|
Danelle Baca, LMSW 700 Friedman Ave, Las Vegas, NM 87701-4231 Ph: (505) 454-5100 | Danelle Baca, LMSW 700 Friedman Ave, Las Vegas, NM 87701-4231 Ph: (505) 454-5100 |
Tomasita Jasmine Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 University Ave, Las Vegas, NM 87701 Phone: 505-454-8265 Fax: 505-454-8268 | |
Tiffany Monique Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 University Ave, Las Vegas, NM 87701 Phone: 505-454-8265 | |
Mrs. Maria L Vigil, LPCC, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2301 7th St, Las Vegas, NM 87701 Phone: 505-454-9611 | |
Damien Derego, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1235 8th St, Las Vegas, NM 87701 Phone: 505-426-6788 | |
Irene C Sandoval, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Friedman Ave, Las Vegas, NM 87701 Phone: 505-454-5100 | |
Christi Anne Pickren, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Las Vegas, NM 87701 Phone: 505-454-9738 Fax: 505-425-9285 | |
Serafin Lopez, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2503 Ridge Runner Rd, Las Vegas, NM 87701 Phone: 505-454-8265 |