Individual
LORRAINE BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1201 ATRISCO DR SW, ATRISCO ES, ALBUQUERQUE, NM 87105-3550
(505) 877-2772
Mailing address
1201 ATRISCO DR SW, ATRISCO ES, ALBUQUERQUE, NM 87105-3550
(505) 877-2772
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M 04992
NM
1041S0200X
School Social Worker
Primary
M 04992
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14675251
—
NM
Enumeration date
03/01/2007
Last updated
09/11/2025
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