KELLY ANN BACLIG (NPI# 1548712813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548712813 |
Entity Type | Individual |
Full Name | KELLY ANN BACLIG |
Credential | LCSW88718 |
Practice Address |
855 Third Ave Ste 1110 Chula Vista CA 91911-1350 |
Mailing Address |
1202 Morena Blvd Ste 300 San Diego CA 92110-3844 |
Practice Telephone | 6199345770 |
Practice Fax Number | 6193910091 |
Mailing Telephone | 6192768112 |
Enumeration Date | 2016-11-02 |
Last Update Date | 2020-02-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
ASW74027 | CA | Behavioral Health & Social Service Providers |
Y | 1041C0700X |
Social Worker Specialization: Clinical |
88718 | CA | Behavioral Health & Social Service Providers |
Street Address |
855 THIRD AVE STE 1110 |
City | CHULA VISTA |
State | CA |
Zip Code | 91911-1350 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
Find all providers in zip 91911 |
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 |
---|---|---|---|---|
1851914733 | Adriana Covarrubias Hernandez | Social Worker | 2300 Boswell Rd # 245, Chula Vista, CA 91914-3523 | 2020-05-26 |
1316401607 | Rachael Vaphides | Social Worker | 1750 Pember Ave, Chula Vista, CA 91913-4320 | 2019-01-30 |
1962973842 | Veronna Bonggat Dizon | Social Worker | 2452 Fenton St Ste 202, Chula Vista, CA 91914-4551 | 2018-12-17 |
1881198554 | Richard Robert Garcia | Social Worker | 2471 Myrtle Beach Way, Chula Vista, CA 91915-2150 | 2018-03-19 |
1902315344 | Mcalister Institute for Treatment & Education, Inc. | Social Worker | 1250 Olympic Pkwy, Chula Vista, CA 91913-1900 | 2017-09-28 |
1447785811 | Tania Marie Beaudoin | Social Worker | 2580 Catamaran Way Ste 103, Chula Vista, CA 91914 | 2017-04-24 |
1487080719 | Nikima Tangerine Loureiro | Social Worker | 835 3rd Ave, Suite D, Va Chula Vista Cboc, Chula Vista, CA 91910 | 2013-09-18 |
1245516434 | Nydia M Valverde | Social Worker | Sbgwc and Mswgc 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2011-11-01 |
1366742173 | Emil Paul Jech | Social Worker | 390 Minot Ave, Chula Vista, CA 91910-2937 | 2010-10-26 |
1063629558 | Teresa B. Reinhardt | Social Worker | 971 Monserate Ave, Chula Vista, CA 91911-2326 | 2007-05-16 |
Find all providers in CHULA VISTA |
City | CHULA VISTA |
Zip Code | 91911 |
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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.