Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARRIE BACON

Active

Clinical Social Worker · MILLERSVILLE, MD

Registration Details

NPI Number: 1770032682
Provider Type: Individual
Gender: Female
NPI Issued: Oct 4, 2016 (9.5974931840698 yrs)
Last Updated: Oct 4, 2016
Licenses: 14799 (MD)

LIC50079475 (DC)

Practice Information

Address: 1114 BENFIELD BLVD

MILLERSVILLE, MD, 211082568
Browse MD providers · Browse ZIP 21108
Phone: 4107805203
Fax: 4107805205
Primary Specialty: Clinical Social Worker
1041C0700X
Additional Specialty: Clinical Social Worker

Other Clinical Social Worker Providers in MILLERSVILLE, MD

Name	Credential	NPI
MRS. JUDITH MARIE SIPES	LCSW C	1568403517
MARGARET JEANNE SISK	MSW LCSW C	1467497149
MS. VICTORIA ELAINE WILSON	LCSWC	1083643720
MR. PETER CHARLES WILCOX	LCSW C	1932132966
MRS. STEPHANIE MARY KESTLER	LCSW-C	1265659031
CARROLL STEWART CANIPE	LCSW-C	1720289028

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.