Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jeannie Marie Baca

Individual provider Social Worker · NPI 1174872147

MS. Jeannie Marie Baca is a Clinical Social Worker in Roxbury, Massachusetts. Qualified in 2013, 13 years ago. Practices with Codman Square Health Center, Inc, a 67-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2012

Practice location Address checks out

435 Warren St
Roxbury, MA 02119-1833
Phone: (617) 442-7400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 637 Washington St, Dorchester, MA 02124-3510 — (617) 825-9660

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 119874 (MA)

Record details

NPI number1174872147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Codman Square Health Center, Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Roxbury