Active NPIIndividual provider

Kendall F Bacon, MSW

Marriage & Family Therapist in Fitchburg, Massachusetts

NPI Number1558344523
Practice location
915 South St, Fitchburg, MA 01420
Fax
978-345-1616
Last updated
July 13, 2026

Kendall F Bacon is a Marriage & Family Therapist based in Fitchburg, MA. Kendall F Bacon practices in Fitchburg, MA and has the professional credentials of MSW. The NPI Number for Kendall F Bacon is 1558344523 and holds a License No. 105716 (MA). The current practice location address for Kendall F Bacon is 915 South St, Fitchburg, MA 01420 and can be reached out via phone at 978-345-4147 and via fax at 978-345-1616.

Provider Profile Details

NPI Number
1558344523
Provider Name
Kendall F Bacon
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
915 South St, Fitchburg, MA 01420
Phone Number
978-345-4147
Fax Number
978-345-1616
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Provider Enumeration Date
November 23, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
915 South St
Fitchburg, MA 01420
Zip
01420
Phone Number
978-345-4147
Fax Number
978-345-1616
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
855 Mountain RD
Jaffrey, NH 03452
City
Jaffrey
State
NH
Zip
03452
Phone Number
603-532-8615

License Information

License Number (1)
105716
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
105716
License State (2)
MA
Taxonomy (2)
Social Worker · 104100000X
License Number (3)
105716
License State (3)
MA
Taxonomy (3)
Marriage & Family Therapist · 106H00000X · 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 Kendall F Bacon, MSW?

The NPI number of Kendall F Bacon, MSW is 1558344523. It was assigned on November 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Kendall F Bacon, MSW?

Kendall F Bacon, MSW is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in MA under license number 105716.

Where does Kendall F Bacon, MSW practice?

The practice location is 915 South St, Fitchburg, MA 01420. The office can be reached at 978-345-4147 (phone) or 978-345-1616 (fax).

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 1558344523 directly on the NPPES registry website.

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