Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa C de Baca, LCSW

Individual provider Clinical Social Worker · NPI 1356020291

Marisa C de Baca, LCSW is a Clinical Social Worker in Taos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2023.

Licensed in
NM
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

105 Bertha Rd
Taos, NM 87571-7148
Phone: (575) 758-4297
Fax: (575) 751-4237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SWB-2026-0383 (NM)

Record details

NPI number1356020291
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 17, 2023
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address4 San Francisco St Unit 377, Ranchos De Taos, NM 87557-4016

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