Individual provider Active NPI

Doris Angelica Baccala, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1497531701
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22056 Issued in OK
Practice address
5350 S Western Ave Ste 734
Oklahoma City, OK 73109-4535
Phone
(405) 605-8488
Fax
(888) 877-9894
NPI assigned
Sep 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22056 OK Primary

Addresses

Primary practice location

5350 S Western Ave Ste 734
Oklahoma City, OK 73109-4535

Mailing address

5350 S Western Ave Ste 734
Oklahoma City, OK 73109-4535
Phone (405) 237-8980

Other names 1

  • Doris A Romero Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22056OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Medbill LLC CurrentSince May 1, 2024 Accepting new patients
Confluence Therapy Group Clinical Current Accepting new patients
Mosaic Health Foundation CurrentSince Oct 15, 2023 Accepting new patients

Locations

5350 S Western Ave
Ste 215
Oklahoma City, OK 73109
Phone (405) 518-0082

5350 S Western Ave
Ste 734
Oklahoma City, OK 73109
Phone (405) 474-6446

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1497531701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 S WESTERN AVE STE 734",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094535",
            "telephone_number": "405-237-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 S WESTERN AVE STE 734",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731094535",
            "telephone_number": "405-605-8488",
            "fax_number": "888-877-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCALA",
        "first_name": "DORIS",
        "middle_name": "ANGELICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "22056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORIS",
            "last_name": "ROMERO",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.