Active NPIIndividual providerSole proprietor

Kimberly Bacon, LMSW

Social Worker in Pomona, New York

NPI Number1205039542
Practice location
50 Sanitorium RD, Bldg F - Room 240, Pomona, NY 10970-3555
Fax
—
Last updated
July 8, 2007

Kimberly Bacon is a Social Worker based in Pomona, NY. Kimberly Bacon practices in Pomona, NY and has the professional credentials of LMSW. The NPI Number for Kimberly Bacon is 1205039542 and holds a License No. 074452 (NY). The current practice location address for Kimberly Bacon is 50 Sanitorium RD, Bldg F - Room 240, Pomona, NY 10970-3555 and can be reached out via phone at 845-364-2275.

Provider Profile Details

NPI Number
1205039542
Provider Name
Kimberly Bacon
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
50 Sanitorium RD, Bldg F - Room 240, Pomona, NY 10970-3555
Phone Number
845-364-2275
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 6, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Sanitorium RD
Bldg F - Room 240
Pomona, NY 10970-3555
City
Pomona
Zip
10970-3555
Phone Number
845-364-2275
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
26 First St
Haverstraw, NY 10927-2004
City
Haverstraw
State
NY
Zip
10927-2004
Phone Number
845-429-5806

License Information

License Number
074452
License State
NY
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly Bacon, LMSW?

The NPI number of Kimberly Bacon, LMSW is 1205039542. It was assigned on June 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Kimberly Bacon, LMSW?

Kimberly Bacon, LMSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 074452.

Where does Kimberly Bacon, LMSW practice?

The practice location is 50 Sanitorium RD, Bldg F - Room 240, Pomona, NY 10970-3555. The office can be reached at 845-364-2275 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205039542 directly on the NPPES registry website.

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