Matthew Marcos Bacca, LSW
NPI 1538825922ActiveIndividual· Social Worker· Fort Drum, NY
Social Worker (LSW) in Fort Drum, New York, licensed in CO, with an NPI issued in November 2021. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1538825922 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LSW |
| Sole proprietor | No |
| NPI issued | Nov 10, 2021 |
| Last updated in NPPES | Aug 11, 2025 |
| Certified by provider | Aug 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | LSW.009924321 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CO) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 29 social workers in Fort Drum · All social workers in New York