Provider Demographics
NPI:1366778128
Name:DUARTE-BAKER, GRACIELA (MSW)
Entity type:Individual
Prefix:MRS
First Name:GRACIELA
Middle Name:
Last Name:DUARTE-BAKER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:34 VIA ALCAMO
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-7043
Mailing Address - Country:US
Mailing Address - Phone:949-244-4792
Mailing Address - Fax:
Practice Address - Street 1:26137 LA PAZ RD
Practice Address - Street 2:#230
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5319
Practice Address - Country:US
Practice Address - Phone:949-595-8610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical