NPI 1851157622 · live from the CMS NPI Registry
Christenia Bacon, PsyD, LCSW
Social Worker, Clinical in Kihei, HI. National Provider Identifier 1851157622, active.
NPI record
| NPI | 1851157622 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 142 Hoopili Akau St, Kihei, HI 96753 |
| Practice phone | 808-250-3860 |
| Enumerated | February 28, 2024 |
| Last updated | March 9, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 4924 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.