Provider Demographics
NPI:1770181869
Name:BALDINGER, THOMAS SPENCER (MSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:SPENCER
Last Name:BALDINGER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:TOM
Other - Middle Name:
Other - Last Name:BALDINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:2504 CAMINO ENTRADA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-4851
Mailing Address - Country:US
Mailing Address - Phone:505-216-2727
Mailing Address - Fax:
Practice Address - Street 1:880B CHICOMA VIS
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-7671
Practice Address - Country:US
Practice Address - Phone:505-819-8913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator