Gregory J Bacon, MSW, LCSW
Social Worker, Clinical in Springfield, MO. Individual provider (NPI-1).
NPI number1619616299
StatusActive
Last updated in NPPESAug 20, 2026
Details
- NPI
- 1619616299
- Entity type
- Individual (NPI-1)
- Name
- Gregory J Bacon
- Credential
- MSW, LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2022
- Certification date
- Aug 20, 2026
- Last updated
- Aug 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2026014312 | MO | Yes |
Practice location
630 W Kearney StSpringfield, MO 65803-2508
Phone 417-761-5000
Mailing address
Po Box 844715Kansas City, MO 64184-4715
Phone 417-761-5000
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