Individual provider · Type 1 NPI

Agnes Bacon, LMSW

Clinical Social Worker · Muskegon, MI

NPI number 1457020810 Active

Practice location

1440 E Sherman Blvd Ste 300
Muskegon, MI 49444-1816

Call (231) 672-2008 Map

Fax (231) 672-2009

Mailing address

PO Box 776982
Chicago, IL 60677-6982

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801100310 (MI)

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 1457020810

Agnes Bacon, LMSW's National Provider Identifier is 1457020810, issued on Sep 9, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Muskegon, MI. The record was last updated on Mar 1, 2023.