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

Yevgeni Balicek

Individual provider Clinical Social Worker · NPI 1053702548

Yevgeni Balicek is a Clinical Social Worker in Espanola, New Mexico. Licensed in New Mexico. Registered with an NPI since 2015.

Licensed in
NM
In the registry since
2015
Specialties on file
2

Practice location Address checks out

2010 Industrial Park Rd
Espanola, NM 87532-3600
Phone: (505) 753-7395
Fax: (505) 753-8373
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence M-08056 (NM)
Clinical Social Worker Taxonomy 1041C0700X · Licence M-08056 (NM)

Record details

NPI number1053702548
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 5, 2015
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing addressPo Box 158, El Centro Family Health, Espanola, NM 87532-0158

Other providers in Espanola