Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN M WOOD BACON, LICSW
ActiveKATHLEEN M WOOD BACON, LICSW is a Social Worker healthcare provider located in WINDHAM, New Hampshire. NPI 1124072996 is currently active in the NPPES registry. Verify at CMS.
Social Worker · WINDHAM, NH
Registration Details
- NPI Number
- 1124072996
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2006 (20.26311459522 yrs)
- Last Updated
- Jul 11, 2016
- License
-
LICSW1238 (NH)
Practice Information
- Address
-
183 ROCKINGHAM ROADWINDHAM, NH, 03087Browse NH providers · Browse ZIP 03087
- Phone
- 6034349937
- Fax
- 6034340427
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in WINDHAM, NH
| Name | Credential | NPI |
|---|---|---|
| MRS. NANCY S DAVIS | LICSW BCD | 1386674893 |
| ELISE J BOUDREAU | — | 1104901149 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.