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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARISA C DE BACA LCSW
NPI 1356020291
Social Worker - Clinical in Taos, NM

Active since July 17, 2023PECOS Enrolled
105 BERTHA RD, TAOS, NM 87571(575) 758-4297(575) 751-4237 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Jul 17, 2023 (2 updates tracked since 2023).

About Marisa C De Baca Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA C DE BACA LCSW (NPI 1356020291) is an individual clinical provider in Taos, New Mexico, licensed in New Mexico (SWB-2026-0383) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356020291
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARISA C DE BACACredential: LCSW
Location Address105 BERTHA RDTaos, NM 87571-7148
Mailing Address4 San Francisco St Unit 377Ranchos De Taos, NM 87557-4016 · (575) 224-2085 · Fax (575) 751-4237
Phone(575) 758-4297
Fax(575) 751-4237
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 17, 2023
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1356020291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NM · SWB-2026-0383
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
105 BERTHA RD, Taos, NM 87571
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa C De Baca Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092271775
PECOS Enrollment IDI20260803001139
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marisa C De Baca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nonviolence Works, Inc.
Same address
Mental Health (Including Community Mental Health Center)
105 BERTHA RD STE B
Taos, NM 87571
  • Reassigned Medicare billing, New Mexico enrollment
  • 30 clinicians in this Medicare group
NPI 1376777607 (575) 758-4297

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87571 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY MAESTAS
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Taos County (575) 758-4297
SANTIAGO VALERIO VALDEZ
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Taos County (575) 758-4297
NATHANAEL GARCIA
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Taos County (575) 758-4297
OSCAR MUNOZ
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Taos County (575) 758-4297
ANGELINA VALDEZ
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Taos County (575) 758-4297
BRIAN MORAGA
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Taos County (575) 758-4297
LAUREN MONTOYA
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Taos County (575) 758-4297
SIMON TORREZ JR.
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Taos County (575) 758-4297

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa C De Baca's NPI number?

The NPI number for Marisa C De Baca is 1356020291. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Marisa C De Baca located?

Marisa C De Baca practices at 105 Bertha Rd, Taos, NM 87571. The listed phone number is (575) 758-4297.

What is Marisa C De Baca's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Marisa C De Baca enrolled in Medicare?

Yes. Marisa C De Baca is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marisa C De Baca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa C De Baca reassigns Medicare benefits to Nonviolence Works, Inc. (Taos, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisa C De Baca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marisa C De Baca was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.