Matthew Marcos Bacca, LSW
Social Worker · Fort Drum, NY
Matthew Marcos Bacca, LSW is a social worker with a practice address in Fort Drum, New York, and NPI 1538825922, issued on Nov 10, 2021. Check the license with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Matthew Marcos Bacca
- Credential
- LSW
- Primary taxonomy
- Social Worker 104100000X
- License number
- LSW.009924321 CO
Self-reported in NPPES; status is on the state search - Practice location
- 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
- Phone
- (719) 634-8365
- Enumerated
- Nov 10, 2021
- Record last updated
- Aug 11, 2025
- Medicare enrollment
- Enrolled (PECOS I20260325000402); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest social worker records → All 23,561 in New York → Look up another NPI →
Also registered at 11050 Mount Belvedere Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joshua Agard, PA-CPhysician Assistant1295343218
- Anne Ashley, LPC; LCDC; CSACAddiction (Substance Use Disorder) Counselor1861482713
- Todd Benham, PSYD, ABPPClinical Psychologist1558350777
- Sumon BhattacharyyaInternal Medicine Physician1972246387
- Randall Bischoff, RPA-CPhysician Assistant1760471932
- Kabita BistaPhysician Assistant1992288724
Verify Matthew Marcos Bacca in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Matthew Marcos Bacca among 23,561 social worker records in New York
Matthew Marcos Bacca, LSW is one of 23,561 social worker records with a practice address in New York. 3% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2021, is newer than 55% of them.
- NPI issued2021 · 55% of these records are older, 38% newer
- In a Medicare fileNo · 3% of these records are
- In the CMS Doctors and Clinicians fileYes · 5% of these records are
- Graduated2022 · median 2013 among the 1,177 with a school on file
- Record last updated2025 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 104100000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
29 social worker records list a practice address in Fort Drum
They are 29 of the 471 NPPES records with a practice address in Fort Drum, and 23,561 social worker records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 23,561 in New York → Every provider in Fort Drum → Social Worker nationwide →
The 8 social worker records with the nearest ZIP codes
- Laura Boff, LISW-CPFort Drum, NY 136021649682972
- Kyle Bourque, LISWFort Drum, NY 136021124018650
- Bessie BrownFort Drum, NY 136021821463332
- Jacqueline Bucci, MSSWFort Drum, NY 136021538159512
- Jeffrey Cox, LICSWFt Drum, NY 136021013117928
- Daniel Dodge, LCSWRFort Drum, NY 136021265553317
- Roger Eaks, LCSWFort Drum, NY 136021255320206
- Shelly Gonzalez, LCSWFort Drum, NY 136021326386533
Common questions
What is Matthew Marcos Bacca, LSW's NPI number?
Matthew Marcos Bacca, LSW's National Provider Identifier (NPI) is 1538825922, issued on Nov 10, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Matthew Marcos Bacca, LSW located?
The NPPES record lists a practice address at 11050 Mount Belvedere Blvd, Fort Drum, NY, 13602. Phone: (719) 634-8365. Providers update this record themselves, so call before visiting.
How can I verify Matthew Marcos Bacca, LSW's license?
Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.