Tammy M Baca, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64158 Issued in TX

Practice address

14138 S Fort Hood St
Killeen, TX 76542-4850

Phone

(254) 519-1144

Fax

(254) 519-1155

NPI assigned

Jul 8, 2019

Last updated

Aug 29, 2026By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Portal Psychiatric Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Killeen, TX
  • NPI 1407611809
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1821650037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 FENTON LN",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765135845",
            "telephone_number": "805-844-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14138 S FORT HOOD ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424850",
            "telephone_number": "254-519-1144",
            "fax_number": "254-519-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "TAMMY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Avritt, LMHC, LPC-S, PHD
• Luis Fernando Ayala, RBT
• Mary Ayala, BCBA, LBA
• Amber Azzoz
• B G G Oral Surgery
• K-Jesilang De Jesus Bacahui
• Raina Bae
• Ruchi Bagrodia, PT, DPT
• Habib U Bahar, MD
• Christina Renay Bailey

• Clinical Social Worker in Killeen, TX
• Providers in Killeen, 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 Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.