NPI 1801872387 · live from the CMS NPI Registry
Donna R. Bacon, LCSW
Social Worker, Clinical in Jber, AK. National Provider Identifier 1801872387, active.
NPI record
| NPI | 1801872387 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 |
| Practice phone | 907-580-8094 |
| Enumerated | December 16, 2005 |
| Last updated | November 19, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 387 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.