MS. CORLISS MARGARET BACA (NPI# 1083781421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083781421 |
| Entity Type | Individual |
| Full Name | MS. CORLISS MARGARET BACA |
| Credential | LCSW |
| Practice Address |
2901 Meadow Lark Dr San Diego CA 92123-2711 |
| Mailing Address |
1575 Sunset Cliffs Blvd San Diego CA 92107-3433 |
| Practice Telephone | 8585415244 |
| Practice Fax Number | 8585415221 |
| Mailing Telephone | 6192220048 |
| Mailing Fax Number | 8585415244 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10653 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2901 MEADOW LARK DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325985 | Andrea Guttman | Marriage & Family Therapist | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2020-10-29 |
| 1952914145 | Alexis Johnson | Psychologist | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2020-08-26 |
| 1083250633 | Sergio Dominique Vamper | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-11-19 |
| 1235773888 | Savanna Mei Valencia | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-11-06 |
| 1205485018 | Jordyn Skaggs | Student in an Organized Health Care Education/Training Program | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-09-05 |
| 1407404411 | Aura Maria Restrepo | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-09-03 |
| 1629623822 | Paige Sparks | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-08-05 |
| 1003468737 | Iliana Salas | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-07-12 |
| 1154983914 | Christina Marie Swan | Registered Nurse | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-07-02 |
| 1396206751 | Christopher Cal Hines Jr. | Counselor | 2901 Meadow Lark Dr, San Diego, CA 92123-2711 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920536 | Gillian Boyd | Social Worker | 3147 Eel Alley Building 271, Room 106, San Diego, CA 92136-0001 | 2020-10-18 |
| 1194338087 | Courage Over Comfort Counseling Licensed Clinical Social Worker PC | Social Worker | 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 | 2020-08-28 |
| 1619580057 | Joseph Stephen Mcconico | Social Worker | 5274 Mount Alifan Dr, San Diego, CA 92111-2621 | 2020-08-25 |
| 1821600529 | David James Prince | Social Worker | 1498 13th Street Bldg 184, San Diego, CA 98132 | 2020-08-24 |
| 1407467392 | Tyler Drew Willis | Social Worker | 4665 Voltaire St, San Diego, CA 92107-1762 | 2020-08-13 |
| 1174132575 | Sarah Greenstein | Social Worker | 11860 Carmel Creek Rd, San Diego, CA 92130-2474 | 2020-07-31 |
| 1730798190 | Joelle G Johnson | Social Worker | 4904 Mansfield St, San Diego, CA 92116-1936 | 2020-07-30 |
| 1881203503 | Micheaela Whaley | Social Worker | 4417 30th St Ste 112, San Diego, CA 92116-4284 | 2020-07-28 |
| 1033737812 | Clara Loginov | Social Worker | 6727 Mohawk St, San Diego, CA 92115-1642 | 2020-07-08 |
| 1780208553 | Ai-nhat Ngo | Social Worker | 9360 Activity Rd Ste B, San Diego, CA 92126-4410 | 2020-06-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.