Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEAN LAROYCE BACON, PH.D.
Active Sole ProprietorDR. JEAN LAROYCE BACON, PH.D. is a Clinical Social Worker healthcare provider located in BAY SHORE, New York. NPI 1184846818 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BAY SHORE, NY
Registration Details
- NPI Number
- 1184846818
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2007 (19.257730684875 yrs)
- Last Updated
- Apr 14, 2020
- License
-
045056-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
83 E MAIN STBAY SHORE, NY, 117068305Browse NY providers · Browse ZIP 11706
- Phone
- 6316665067
- Fax
- 6315935472
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BAY SHORE, NY
| Name | Credential | NPI |
|---|---|---|
| PETER VIGLIOTTA | LCSW | 1356306880 |
| JONATHAN GROSSMAN | LCSW | 1578528667 |
| CARRIE TAIBI | LCSW-R | 1356381743 |
| MR. RICHARD C SCHEINBERG | LCSW | 1235173329 |
| MS. KERRY A HANNER | LCSW | 1215971304 |
| MS. LISA DEFEIS | LCSW | 1396772562 |
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.