MATTHEW BACCA, LSW

Social Worker

Active Individual
NPI: 1538825922

Practice Address

11050 MOUNT BELVEDERE BLVD
Fort Drum, NY 13602

Phone: (719) 634-8365

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes LSW.009924321 (CO)

Frequently Asked Questions

NPI 1538825922 is the National Provider Identifier for MATTHEW BACCA, LSW, a Social Worker provider located in Fort Drum, NY. This NPI was enumerated on November 10, 2021.
MATTHEW BACCA, LSW practices at 11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602.

Quick Facts

NPI
1538825922
Type
Individual
Enumerated
Nov 10, 2021
Last Updated
Aug 11, 2025

Nearby Providers