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

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

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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.

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
Fax(575) 751-4237
Sole ProprietorNo
Enumeration DateJuly 17, 2023
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 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

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.

Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571
Case Manager/Care Coordinator
105 BERTHA RD
TAOS, NM 87571

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.

When was this NPI record last updated?

The NPPES record for Marisa C De Baca was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.