Derek J. Baca, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

53019 Issued in TX

Practice address

3355 Bee Caves Rd Ste 605
West Lake Hills, TX 78746-6681

Phone

(512) 423-2892

NPI assigned

Dec 21, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1205165271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 SUMMIT BND UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598945",
            "telephone_number": "512-423-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVES RD STE 605",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466681",
            "telephone_number": "512-423-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "DEREK",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Surgico
• Austin Trauma Associates
• Austin Westlake Therapy, PLLC
• Fereshteh Azad, MD
• B Tano, MD PA
• Mary Kristin Bade, PH.D.
• Robert Louis Badeen Jr., RPH
• James Dwight Bain, LMSW
• Alexis Baker, MS, LPC-ASSOCIATE
• David Arthur Baker, D.D.S.

• Clinical Social Worker in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.