Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY BACON
Active Sole ProprietorKIMBERLY BACON is a Clinical Social Worker healthcare provider located in OCEANSIDE, California. NPI 1972382943 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · OCEANSIDE, CA
Registration Details
- NPI Number
- 1972382943
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2023 (2.6983358608888 yrs)
- Last Updated
- Sep 27, 2023
- License
-
111508 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 WILSHIRE RDOCEANSIDE, CA, 920572904Browse CA providers · Browse ZIP 92057
- Phone
- 8584421463
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in OCEANSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MARK A. SHERMAN | LCSW | 1386637932 |
| MS. MARY LIECHTY ADAMS | LCSW | 1386692416 |
| MR. DONALD PHILLIP BENTLEY | LCSW BCD | 1013921485 |
| MRS. DEBORAH KAY BERMAN | MSW, LCSW | 1326154774 |
| DONYSIA MARIE GREEN-GILMORE | LCSW | 1831298710 |
| DAVI ELLEN GENDEL | LCSW | 1437259256 |
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.