JEAN BACON
NPI 1023349297
Social Worker - Clinical in Bay Shore, NY

NPI Status: Active since January 27, 2010

Contact Information

83 E MAIN ST
BAY SHORE, NY
ZIP 11706
Phone: (631) 666-5067
Fax: (631) 593-5472

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  • Organization
  • Social Worker
  • Clinical

About JEAN BACON

This page provides the complete NPI Profile along with additional information for Jean Bacon, a provider established in Bay Shore, New York operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1023349297 assigned on January 2010. The practitioner's primary taxonomy code is 1041C0700X with license number 04056 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. Jean Bacon operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Jean Bacon. The authorized official of this NPI record is Dr. Jean Bacon Phd, Lcsw (Clinical Director)

NPI
1023349297
Provider Legal Name
BUTTERFLY LCSW PC
Other Organization Name
JEAN BACON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
83 E MAIN ST BAY SHORE, NY 11706
Location Phone
(631) 666-5067
Location Fax
(631) 593-5472
Mailing Address
34 FIRE ROAD DR BAY SHORE, NY 11706
Mailing Phone
(631) 666-1951
Mailing Fax
(631) 593-5472
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2010
Last Update Date
04-14-2020
Code Navigator

A clinical social worker like Jean Bacon is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Secondary Locations

  • 1735 N Ocean Ave Ste D
    Medford, NY 11763
    (631) 666-5067

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
04056
License State
NY
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

076163 (NY)
2104100000XBehavioral Health & Social Service Providers

Social Worker

079274 (NY)
3104100000XBehavioral Health & Social Service Providers

Social Worker

077806 (NY)
4104100000XBehavioral Health & Social Service Providers

Social Worker

070271 (NY)
5104100000XBehavioral Health & Social Service Providers

Social Worker

077805 (NY)
6104100000XBehavioral Health & Social Service Providers

Social Worker

074277 (NY)
7104100000XBehavioral Health & Social Service Providers

Social Worker

079551 (NY)
8104100000XBehavioral Health & Social Service Providers

Social Worker

075977 (NY)
9104100000XBehavioral Health & Social Service Providers

Social Worker

070508 (NY)
10104100000XBehavioral Health & Social Service Providers

Social Worker

073889 (NY)
11104100000XBehavioral Health & Social Service Providers

Social Worker

076780 (NY)
12104100000XBehavioral Health & Social Service Providers

Social Worker

074014 (NY)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JEAN BACON PHD, LCSW

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(631) 666-5067

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A100024503OTHER (01)NYMEDICARE GROUP PTAN

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023349297, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 6 + 4 + 1 + 8 + 2 + 1 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1023349297.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Counselor
83 E MAIN ST
BAY SHORE, NY 11706
Counselor (Mental Health)
83 E MAIN ST
BAY SHORE, NY 11706
Social Worker (Clinical)
83 E MAIN ST
BAY SHORE, NY 11706
Counselor (Mental Health)
83 E MAIN ST
BAY SHORE, NY 11706
Psychologist (Counseling)
83 E MAIN ST
BAY SHORE, NY 11706
Counselor (Mental Health)
83 E MAIN ST
BAY SHORE, NY 11706
Counselor (Mental Health)
83 E MAIN ST
BAY SHORE, NY 11706
Social Worker
83 E MAIN ST
BAY SHORE, NY 11706
Social Worker (Clinical)
83 E MAIN ST
BAY SHORE, NY 11706
Counselor (Mental Health)
83 E MAIN ST
BAY SHORE, NY 11706
Social Worker
83 E MAIN ST
BAY SHORE, NY 11706
Social Worker (Clinical)
83 E MAIN ST
BAY SHORE, NY 11706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023349297, enumerated as an "organization" on January 27, 2010.

The provider is located at 83 E MAIN ST BAY SHORE, NY 11706 and the phone number is (631) 666-5067.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.