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Contact Information

SAMANTHA BACA
105 BERTHA RD STE B
TAOS, NM87571-7148
 Phone: 575-758-4297
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for SAMANTHA BACA · (Female)

NPI # 1134847973
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2022
Last updated 05/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # SWB-2023-0172
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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