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Jeannie Marie Baca

NPI 1174872147ActiveIndividual· Social Worker· Roxbury, MA

Social Worker with Codman Square Health Center, Inc, practicing in Roxbury, Massachusetts. Medicare paid $2,918 for services to 17 patients in 2024. Lists Boston Medical Center as a hospital affiliation.

Overview

NPI1174872147
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 5, 2012
Last updated in NPPESJan 17, 2024
Certified by providerJan 17, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker Primary104100000X119874MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (MA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients17
Services billed66 across 3 procedure codes
Paid by Medicare$2,918

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyClinical Social Worker
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

Other Social Worker providers in Roxbury

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