Tierra Bacon, SWT BA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016721 Issued in NC

Practice address

501 S College St # 152
Charlotte, NC 28202-1827

Phone

(216) 712-2237

NPI assigned

Aug 22, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1629625710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S COLLEGE ST # 152",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021827",
            "telephone_number": "216-712-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S COLLEGE ST # 152",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021827",
            "telephone_number": "216-712-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "TIERRA",
        "credential": "SWT BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Jo Backel, CRNP
• Madison Backer
• Alexandra Bacon, LCSW
• Byron Denartus Bacon
• Jonathan Mark Bacon, R.PH.
• Vito John Badalamenti, MD
• Rupal Naresh Badalyan, MD
• Sara Nelly Badano, MD
• Poornima Baddi, MD
• Krishnamohan R Baddigam, MD

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.