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NPI Code Detail

MEDICARE: BRITTNEY ANN BACA LCSW

MEDICARE: BRITTNEY ANN BACA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker132580CA
2104100000XSocial Worker103594CA

General Provider Information

NPI Number : 1861019796
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY ANN BACA LCSW
Provider Business Mailing Address
First Line : 5901 E 7TH ST, LONG BEACH
Second Line :
City : LONG BEACH
State : CA
Zip : 90822
Country : US
Telephone Number : 562-826-8000
Fax Number :
Provider Business Practice Location Address
First Line : 5901 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90822-5201
Country : US
Telephone Number : 562-826-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2020
Last Update Date : 04/10/2026

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Directions to “ BRITTNEY ANN BACA LCSW” Practice Location

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