Individual provider Active NPI

Meaghan Bacon, LCSW

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1972186468
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW04496 Issued in RI
Practice address
200 Main St Ste 210
Pawtucket, RI 02860-4119
Phone
(401) 529-1033
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12913 Harbor Blvd
Suite Q 3 292
Garden Grove, CA 92840-5856

200 Main St
Suite 210
Pawtucket, RI 02860-4102

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260403001643 RI Practitioner - Clinical Social Worker 0244715506 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
ISW04496RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of Rhode Island, Inc. Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW04496 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

200 Main St Ste 210
Pawtucket, RI 02860-4119

Mailing address

200 Main St Ste 210
Pawtucket, RI 02860-4119
Phone (401) 728-1800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2026.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1972186468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST STE 210",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604119",
            "telephone_number": "401-728-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST STE 210",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604119",
            "telephone_number": "401-529-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "MEAGHAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.