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

DR. DONNA TYESE BACON, ED.D, LCSW, MSW, CT

Active Sole Proprietor

DR. DONNA TYESE BACON, ED.D, LCSW, MSW, CT is a Clinical Social Worker healthcare provider located in AMITYVILLE, New York. NPI 1821368077 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · AMITYVILLE, NY

Registration Details

NPI Number: 1821368077
Provider Type: Individual
Gender: Female
NPI Issued: Jan 5, 2012 (14.586720550849 yrs)
Last Updated: Jan 5, 2012
License: 070446 (NY)
Sole Proprietor: Yes

Practice Information

Address: 15 HARRISON AVE

#1A

AMITYVILLE, NY, 117012426
Browse NY providers · Browse ZIP 11701
Phone: 5168844802
Primary Specialty: Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in AMITYVILLE, NY

Name	Credential	NPI
CAROLYN JEANNE FARELLA	LCSW	1255321741
MS. JENNIFER MARIA LOPEZ	DCSW	1902831852
ELISSA GRUNBLATT	LCSW-R	1417961426
MRS. JOAN BRANDENBURG	LCSW	1366459042
LINDA NICHOLSON	LCSW	1245346667
DONNAMARIE DZIKOWSKI	LCSW	1306941729

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.