AUSTIN BACA (NPI# 1275182800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275182800 |
| Entity Type | Individual |
| Full Name | AUSTIN BACA |
| Practice Address |
1012 W Abriendo Ave Pueblo CO 81004-1128 |
| Mailing Address |
41 Montebello Rd Ste 204 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Practice Fax Number | 7195454100 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195454100 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1012 W ABRIENDO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487617320 | William Douglas Leusink | Psychiatry & Neurology | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2006-04-11 |
| 1366043531 | Nicolle Mainthow | Marriage & Family Therapist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1790386894 | Bobbie Griffin | Counselor | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1376144451 | Ruby Martinez | Specialist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1902407182 | Kevin Douglas | Specialist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1316545635 | Jessica Williams | Counselor | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-10-09 |
| 1891392759 | Health Solutions | Clinic/Center | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-10-05 |
| 1366049322 | Lisa Frazier | Social Worker | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-10-02 |
| 1851907802 | Alexis Cordova | Case Manager/Care Coordinator | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-09-16 |
| 1801402789 | Katrina Long | Counselor | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672744 | Julie Ruth Drake | Social Worker | 2406 Cliffmoor Ln, Pueblo, CO 81008-2351 | 2019-10-29 |
| 1750821989 | Cyndra A Shisler-santistevan | Social Worker | 2330 Acero Ave, 25, Pueblo, CO 81004-4177 | 2017-03-07 |
| 1801143904 | Elizabeth Saunders | Social Worker | 1523 Saratoga Rd, Pueblo, CO 81001-2010 | 2012-08-07 |
| 1477792166 | Sylvia Orlinda Marez-fransua | Social Worker | 301 N. Main St., Suite 110, Pueblo, CO 81003 | 2009-02-19 |
| 1851478119 | James Barnhill | Social Worker | 1515 Fortino Blvd Ste 130, Pueblo, CO 81008-1976 | 2006-11-01 |
| 1194342279 | Dominique Reaux | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1326674987 | Robert Brooks Maurio | Social Worker | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2020-03-16 |
| 1881244366 | Rayelle Ross | Social Worker | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2019-09-16 |
| 1811542426 | Hans Drupiewski | Social Worker | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2019-08-09 |
| 1730744848 | Sidney Mcendre | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2019-05-03 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on AUSTIN BACA.
| 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.