Matthew Marcos Bacca, LSW
Matthew Marcos Bacca, LSW is a Clinical Social Worker in Fort Drum, New York. Qualified in 2022, 4 years ago. Licensed in Colorado.
- Years since qualifying
- 4
- Licensed in
- CO
- In the registry since
- 2021
What do these letters mean?
- LSW — Licensed Social Worker
- A state-licensed social worker.
Practice location Address checks out
11050 Mount Belvedere BlvdFort Drum, NY 13602-5438
Phone: (719) 634-8365
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence LSW.009924321 (CO) |
|---|
Record details
| NPI number | 1538825922 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LSW |
| Sole proprietor | No |
| NPI enumerated | November 10, 2021 |
| Last updated in NPPES | August 11, 2025 |
| Certification date | August 11, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Fort Drum
-
Dianna L Bennett, LMSW
11680B Osprey Loop, Fort Drum, NY 13603-3140 · (315) 558-7600
-
Mr. Kyle P Bourque, LISW
USA Meddac Attn: Credentials 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-5004 · (315) 772-4025
-
Bessie L Brown
EBH1 5th Armored Division Dr, Fort Drum, NY 13602 · (315) 772-2257
-
Mrs. Jacqueline L Bucci, MSSW
USA Meddac 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5004 · (315) 772-4025