REBECA CRISTINA BACULPO (NPI# 1720545197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720545197 |
| Entity Type | Individual |
| Full Name | REBECA CRISTINA BACULPO |
| Credential | LCSW |
| Practice Address |
1001 Sneath Ln Ste 307 San Bruno CA 94066-2349 |
| Mailing Address |
Po Box 834 San Lorenzo CA 94580-0834 |
| Practice Telephone | 6502441447 |
| Mailing Telephone | 4152254244 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW64040 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 440 Potrero Ave, San Francisco, CA 941101430 | 4154876700 |
| Street Address |
1001 SNEATH LN STE 307 |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235318635 | The Latino Commission | Substance Abuse Rehabilitation Facility | 1001 Sneath Ln Ste 307, San Bruno, CA 94066-2349 | 2007-11-01 |
| 1336687359 | Adriana Maria Escobar | Counselor | 1001 Sneath Ln Ste 307, San Bruno, CA 94066 | 2017-02-09 |
| 1659763282 | Berman Ivan Icabalceta Jr. | Counselor | 1001 Sneath Ln Ste 307, San Bruno, CA 94066 | 2015-02-18 |
| 1306266655 | Luke James Camarillo | Registered Nurse | 1001 Sneath Ln Ste 307, San Bruno, CA 94066-2349 | 2014-04-24 |
| 1952749830 | Maria E Newson | Substance Abuse Rehabilitation Facility | 1001 Sneath Ln Ste 307, San Bruno, CA 94066 | 2013-06-12 |
| 1568750891 | The Latino Commission | Community/Behavioral Health | 1001 Sneath Ln Ste 307, San Bruno, CA 94066-2349 | 2011-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
| Find all providers in zip 94066 | ||||
| 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 |
|---|---|---|---|---|
| 1437717915 | Justin Mullady | Social Worker | 1411 Greenwood Way, San Bruno, CA 94066-2630 | 2019-05-30 |
| 1720555980 | Lia K Presnell | Social Worker | 1001 Sneath Ln Ste 300, San Bruno, CA 94066-2349 | 2018-10-25 |
| 1851453989 | Betty Mee Wong | Social Worker | 901 El Camino Real, San Bruno, CA 94066-3009 | 2006-12-14 |
| 1366931628 | Sarah Keener | Social Worker | 801 Traeger Ave Fl 2, San Bruno, CA 94066-3045 | 2018-05-02 |
| 1518418326 | Aaron Nicole Hayes | Social Worker | 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415 | 2016-10-17 |
| 1619095536 | Claire Elizabeth Tracey | Social Worker | 1290 Commodore Dr, San Bruno, CA 94066-2304 | 2007-03-27 |
| 1427174796 | Nancy J Littlefield | Social Worker | 1290 Commodore Dr, San Bruno, CA 94066-2304 | 2007-03-21 |
| 1487779096 | Adam L Jacobson | Social Worker | 300 Piedmont Ave, San Bruno, CA 94066-3959 | 2007-03-20 |
| 1619013596 | Jeanne Marie Kelly I | Social Worker | 1001 Sneath Ln, San Bruno, CA 94066-2308 | 2007-01-29 |
| 1235285107 | Therese Connolly | Social Worker | 801 Traeger Ave, 2nd Floor, Child Psychiatry, San Bruno, CA 94066-3048 | 2007-01-25 |
| Find all providers in SAN BRUNO | ||||
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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.