Individual provider · Type 1 NPI

Bethany Bacon, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1184256232 Active

Practice location

3209 N Lakewood Ave
Chicago, IL 60657-3215

Mailing address

30 N Michigan Ave Ste 424
Chicago, IL 60602-3844

Other practice locations

  • 30 N Michigan Ave Ste 424, Chicago, IL 60602-3844 · (312) 279-9981

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149017452 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1184256232

Bethany Bacon, LCSW's National Provider Identifier is 1184256232, issued on Feb 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Sep 29, 2026.