Individual provider · Type 1 NPI

Gregory J. Bacon, MSW, LCSW

Clinical Social Worker · Springfield, MO

NPI number 1619616299 Active

Practice location

630 W Kearney St
Springfield, MO 65803-2508

Mailing address

PO Box 844715
Kansas City, MO 64184-4715

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2026014312 (MO)

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 1619616299

Gregory J. Bacon, MSW, LCSW's National Provider Identifier is 1619616299, issued on Jun 1, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, MO. The record was last updated on Aug 20, 2026.