KIMBERLY BACON (NPI# 1205039542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205039542 |
| Entity Type | Individual |
| Full Name | KIMBERLY BACON |
| Credential | LMSW |
| Practice Address |
50 Sanitorium Rd Bldg F - Room 240 Pomona NY 10970-3555 |
| Mailing Address |
26 First St Haverstraw NY 10927-2004 |
| Practice Telephone | 8453642275 |
| Mailing Telephone | 8454295806 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 074452 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366818452 | Kimberly Bacon | Counselor | 112 W Main St, Purcell, OK 73080-4220 | 2015-08-12 |
| 1215207451 | Kimberly S Bacon | Nurse Practitioner | 408 N State of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 | 2012-01-05 |
| 1487891065 | Kimberly Diane Bacon | Dental Assistant | 8381 La Palma Ave, Suite B & C, Buena Park, CA 90620-3271 | 2009-01-19 |
| Street Address |
50 SANITORIUM RD BLDG F - ROOM 240 |
| City | POMONA |
| State | NY |
| Zip Code | 10970-3555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124059134 | Mohammad Karimi -pashaki | Psychiatry & Neurology | 50 Sanitorium Rd, Bldg F, Pomona, NY 10970-3555 | 2006-07-06 |
| 1144582792 | Lisa Vogel | Case Manager/Care Coordinator | 50 Sanitorium Rd, Building J, Pomona, NY 10970-3555 | 2012-06-11 |
| 1093077646 | Laura Lefkowitz | Case Manager/Care Coordinator | 50 Sanitorium Rd, Building J, Pomona, NY 10970-3555 | 2012-06-11 |
| 1225390826 | Christina Aherne | Case Manager/Care Coordinator | 50 Sanitorium Rd, Building J, Pomona, NY 10970-3555 | 2012-06-11 |
| 1841552346 | Gordon Moldow | Case Manager/Care Coordinator | 50 Sanitorium Rd, Building J, Pomona, NY 10970-3555 | 2012-06-11 |
| 1881956423 | Susan Friedman | Case Manager/Care Coordinator | 50 Sanitorium Rd, Building J, Pomona, NY 10970-3555 | 2012-06-11 |
| 1013279660 | Andrea Merosky | Case Manager/Care Coordinator | 50 Sanitorium Rd, Building J, Pomona, NY 10970-3555 | 2012-06-11 |
| 1548522113 | Mary Thorkelsen | Case Manager/Care Coordinator | 50 Sanitorium Rd, Pomona, NY 10970-3555 | 2012-06-11 |
| 1285996827 | Tracy Merrill | Case Manager/Care Coordinator | 50 Sanitorium Rd, Building J, Pomona, NY 10970-3555 | 2012-06-11 |
| 1700148343 | Cindy Norton | Case Manager/Care Coordinator | 50 Sanitorium Rd, Building J, Pomona, NY 10970-3555 | 2012-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429857 | Adina Meira Shapiro | Occupational Therapist | 7 Gessner Terrace, Pomona, NY 10970 | 2020-02-18 |
| 1619339363 | Summit Park At Friedwald Care, LLC | Skilled Nursing Facility | 50 Sanitorium Rd, Bldg A, 3rd Floor, Pomona, NY 10970 | 2016-03-22 |
| 1215351093 | Nicole Lupo | Licensed Practical Nurse | 4 Leadore Lane, Pomona, NY 10970 | 2014-02-13 |
| 1043659519 | Jyotika Agochiya | Obstetrics & Gynecology | 974 Route 45 Suite 1000, Ramapo Valley Obgyn, Pomona, NY 10970 | 2013-06-18 |
| 1366794323 | Shanice John | Counselor | 1 Marcia Ln, Pomona, NY 10970 | 2012-10-15 |
| 1023364817 | Eleanor Chalew Joseph | Registered Nurse | 50 Sanatorium Road Bldg. D, Robert L. Yeager Health Center, Pomona, NY 10970 | 2012-07-30 |
| 1689942153 | Kewanna D Frazier | Occupational Therapy Assistant | 229 Route 202, Apt. 3h, Pomona, NY 10970 | 2011-12-12 |
| 1134419823 | Carlos G. Lobo | Pediatrics | 27 S Camphill Road, Pomona, NY 10970 | 2011-04-14 |
| 1679804884 | Betina Turnier | Registered Nurse | 2 Valley Viw Court, Pomona, NY 10970 | 2010-01-28 |
| 1376792465 | Max F Rast | Surgery | 15 White Birch Drive, Pomona, NY 10970 | 2008-09-12 |
| Find all providers in zip 10970 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185847 | Open Door Counseling Licensed Clinical Social Worker Agencies Inc | Social Worker | 436 W 4th St Ste 220, Pomona, CA 91766-1623 | 2020-08-19 |
| 1295200616 | Ivette Cisneros | Social Worker | 1968 Arroyo Ave, Pomona, CA 91768-2017 | 2018-10-12 |
| 1578977161 | Alicia Boggio Stiteler | Social Worker | 887 E. Second St., Pomona, CA 91766-2009 | 2014-06-11 |
| 1124465984 | Tina Fine | Social Worker | 7 White Birch Dr, Pomona, NY 10970-3403 | 2013-06-03 |
| 1225375330 | Joel C Enriquez | Social Worker | 1872 Richard St, Pomona, CA 91767-3512 | 2013-01-09 |
| 1952661175 | Tara B Lambert | Social Worker | 136 Country Club Ln, Pomona, NY 10970-2440 | 2012-05-22 |
| 1184879231 | Sharon Nunez | Social Worker | 7408 Overhill Dr, Pomona, NY 10970-3805 | 2008-11-17 |
| 1083782668 | Joseph Baecher | Social Worker | 26 Firemans Memorial Drive, Suite 205a, Pomona, NY 10970 | 2006-12-01 |
| 1235743873 | Vanessa Serrato | Social Worker | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-09-01 |
| 1891347316 | Danika Shively | Social Worker | 845 E Arrow Hwy, Pomona, CA 91767-2535 | 2019-07-15 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.