National Provider Identifier
Alyssa Bacon, LMSW
Alyssa Bacon, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 275-2851.
Profile Overview
- NPI
- 1639836356
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- November 17, 2021
- Last Updated
- November 17, 2021
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-2851
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1639836356
- Entity Type
- Individual
- Last Name
- Bacon
- First Name
- Alyssa
- Credential
- LMSW
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2851
- Enumeration Date
- November 17, 2021
- Last Updated
- November 17, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 17, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)