Kelly Ann Baclig, LCSW88718 is a
Social Worker - Clinical based in Chula Vista, California. Kelly Ann Baclig is licensed to practice in California (license number 88718) and her current practice location is
855 Third Ave Ste 1110, Chula Vista, California. She can be reached at her office (for appointments etc.) via phone at
(619) 934-5770.
NPI number for Kelly Ann Baclig is 1548712813 and her current mailing address is 1202 Morena Blvd Ste 300, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548712813.
Healthcare Provider's Profile
Full Name | Kelly Ann Baclig |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 855 Third Ave Ste 1110, Chula Vista, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548712813
- Provider Enumeration Date: 11/02/2016
- Last Update Date: 02/13/2020
Medical Identifiers
Medical identifiers for Kelly Ann Baclig such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548712813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW74027 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 88718 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ann Baclig is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Ann Baclig, LCSW88718 1202 Morena Blvd Ste 300, San Diego, CA 92110-3844 Ph: (619) 276-8112 | Kelly Ann Baclig, LCSW88718 855 Third Ave Ste 1110, Chula Vista, CA 91911-1350 Ph: (619) 934-5770 |
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