Individual provider · NPI-1

Tammy M Baca, LCSW

Social Worker, Clinical · Killeen, TX

NPI number1821650037
StatusActive
Last updated in NPPESAug 29, 2026

Details

NPI
1821650037
Entity type
Individual (NPI-1)
Name
Tammy M Baca
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 8, 2019
Certification date
Aug 29, 2026
Last updated
Aug 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical64158TXYes

Practice location

14138 S Fort Hood St
Killeen, TX 76542-4850

Phone 254-519-1144 · Fax 254-519-1155

Mailing address

5509 Fenton Ln
Belton, TX 76513-5845

Phone 805-844-9575

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