Alyssa Bacon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13177-123 Issued in WI

Practice address

7280 S 13TH St Ste 202
Oak Creek, WI 53154-1831

Phone

(414) 929-5929

NPI assigned

Jul 12, 2023

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Alyssa Graham Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Shore Counseling LLC

  • Professional Counselor
  • Menomonee Falls, WI
  • NPI 1467303297
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1225717945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD STE 302",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "414-939-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 S 13TH ST STE 202",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541831",
            "telephone_number": "414-929-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "ALYSSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "13177-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "GRAHAM",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Atria Home Care Partners
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• Aurora Pharmacy Inc (Aurora Pharmacy)
• Kimberly Ann Backe, P.T.
• Badger MWC LLC
• Jessica Nichole Bahr, PA-C
• Amanda Ellen Banach, MS, CCC-SLP
• Brianna Banks, LPC
• Sariyah Banks

• Clinical Social Worker in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.