IndividualActive
Agnes Bacon, LMSW
NPI 1457020810 · Clinical Social Worker · Muskegon, MI
Provider details
- NPI number
- 1457020810
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 6801100310 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1440 E Sherman Blvd Ste 300
Muskegon, MI 49444-1816
Phone: (231) 672-2008
Fax: (231) 672-2009
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776982
Chicago, IL 60677-6982
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.