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

Individual provider Clinical Social Worker · NPI 1740066133

Mr. Dorel Lamont Baca, MSWINTERN is a Clinical Social Worker in Oakland, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1411 E 31st St
Oakland, CA 94602-1092
Phone: (510) 501-9347
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Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (CA)

Record details

NPI number1740066133
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWINTERN
Sole proprietorNo
NPI enumeratedSeptember 1, 2023
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing address247 Sequoyah View Dr, Oakland, CA 94605-4910

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