Marlon Godfrey Bacon, MHS
Individual provider Active NPI Social Worker · Eagleville, PA
NPI 1104336304 · NPPES record last updated Oct 3, 2017
Key facts
- NPI
- 1104336304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 3125 Ridge Pike
Eagleville, PA 19403-5708 - Phone
- (610) 630-2111
- Fax
- (610) 630-4003
- NPI assigned
- Oct 3, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services of Montgomery County PA | Social Worker | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
3125 Ridge Pike
Eagleville, PA 19403-5708
Mailing address
3125 Ridge Pike
Eagleville, PA 19403-5708
Phone (610) 630-2111
Other providers in Eagleville, PA
- Ambassador for Home,LLC
- Amber Donnelly, LLC
- Michelle An
- Aimee Nicole Appleton
- Arc Advocacy Services
- Donielle Bayard
- Thomas Bednar
- Rachel Berner
- Jaclyn Blady
- Emilie Bobrow
All providers in Eagleville, PA · Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.