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Mrs. Stephanie Russell Bacon, LCSW
Clinical Social Worker in Greenville, North Carolina
NPI 1225069305

Stephanie Russell Bacon is a Clinical Social Worker based in Greenville, NC and is specialized in Clinical. Stephanie Russell Bacon practices in Greenville, NC and has the professional credentials of LCSW. The NPI Number for Stephanie Russell Bacon is 1225069305 and holds a License No. C004627 (North Carolina).

The current practice location address for Stephanie Russell Bacon is 223 Commerce St Ste D, Greenville, NC and can be reached out via phone at 252-830-3925 and via fax at 252-355-0539. You can also correspond with Stephanie Russell Bacon through the mailing address at PO BOX 2601, GREENVILLE, NC - 27836-0601 (mailing address contact number: 252-830-3925).

Location: 223 Commerce St Ste D, Greenville, NC, 27836-0601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225069305
Provider Name
Stephanie Russell Bacon
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
223 Commerce St Ste D, Greenville, NC, 27836-0601
Phone Number
252-830-3925
Fax Number
252-355-0539
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6002768 05 NC
institution
Provider Business Practice Location Address Details
Address
223 Commerce St Ste D
City
Greenville
State
North Carolina
Zip
27858-5032
Phone Number
252-830-3925
Fax Number
252-355-0539
person
Provider Business Mailing Address Details
Address
223 Commerce St Ste D
City
Greenville
State
North Carolina
Zip
27858-5032
Phone Number
252-830-3925
Fax Number
252-355-0539
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
C004627 (North Carolina)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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