Tiffany Bacon, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801098086 Issued in MI

Practice address

2351 W 12 Mile Rd
Berkley, MI 48072-1826

Phone

(313) 687-3860

NPI assigned

Aug 10, 2016

Last updated

Aug 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stepping Stones Counseling Center, PLLCGroup PAC ID 4688978604, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Stepping Stones Counseling Center, PLLC

  • Clinical Social Worker
  • Chesterfield, MI
  • NPI 1568835924
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1942754643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721826",
            "telephone_number": "313-687-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721826",
            "telephone_number": "313-687-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "TIFFANY",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801098086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asadulla Mohammed MD PC
• Associated Physicians Group PLC
• Associates in Medicine PC
• Maryam H Awad, FNP-BC
• B12 Pharmacy LLC
• Baker Pharmacy Inc.
• Balanced Health and Wellness, LLC
• Stacie Banghart, RDH
• Julian Joseph Barbat, M.D.
• Lauren Barczuk

• Social Worker in Berkley, MI
• Providers in Berkley, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.