Individual
ALLYSSA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 702-8112
Mailing address
713 BROADWAY BLVD SE, ALBUQUERQUE, NM 87102-4207
(813) 644-1129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
SWB-2026-0302
NM
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
04/06/2026
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