Individual provider · Type 1 NPI

Carrie Bacon

Clinical Social Worker · Millersville, MD

NPI number 1770032682 Active

Practice location

1114 Benfield Blvd
Millersville, MD 21108-2568

Fax (410) 780-5205

Mailing address

8967 Yellow Brick Rd
Rosedale, MD 21237-2303

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14799 (MD)
Clinical Social Worker 1041C0700XLIC50079475 (DC)

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 1770032682

Carrie Bacon's National Provider Identifier is 1770032682, issued on Oct 4, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Millersville, MD. The record was last updated on Oct 4, 2016.