MATTHEW MARCOS BACCA LSW NPI 1538825922

NPI Information

Matthew Marcos Bacca, LSW is a social worker in Fort Drum, NY. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Matthew Marcos Bacca, LSW NPI is 1538825922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602-438
Phone: (719) 634-8365

The enumeration date for this NPI number is 11/10/2021 and was last updated on 2/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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