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KATHLEEN M WOOD BACON LICSW
NPI 1124072996
Social Worker in Windham, NH

Active since May 19, 2006Opted out of Medicare · through Jan 2, 2028
183 ROCKINGHAM ROAD, WINDHAM, NH 03087(603) 434-9937(603) 434-0427 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen M Wood Bacon Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN M WOOD BACON LICSW (NPI 1124072996) is an individual social worker in Windham, New Hampshire, licensed in New Hampshire (LICSW1238) and active in the NPI registry since May 2006. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1124072996
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKATHLEEN M WOOD BACONCredential: LICSW
Location Address183 ROCKINGHAM ROADWindham, NH 03087
Mailing Address754 Chestnut St, Suite 2Manchester, NH 03104-3012 · (603) 836-5003
Phone(603) 434-9937
Fax(603) 434-0427
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 11, 2016
✔ NPI 1124072996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NH · LICSW1238
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
183 ROCKINGHAM ROAD, Windham, NH 03087
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Other Identifiers 1

Medicare ID-Type UnspecifiedRE8182

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kathleen M Wood Bacon Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY J BRANCA BA
Specialist
183 ROCKINGHAM ROAD
WINDHAM, NH 03087
Rockingham County (603) 434-9937
MICHAEL ERIC DONATI BA
Specialist
183 ROCKINGHAM ROAD
WINDHAM, NH 03087
Rockingham County (603) 434-9937
ELISE J BOUDREAU
Social Worker
183 ROCKINGHAM ROAD
WINDHAM, NH 03087
Rockingham County (603) 434-9937
KATHLEEN KELLY RAYMOND MSW
Specialist
183 ROCKINGHAM ROAD
WINDHAM, NH 03087
Rockingham County (603) 434-9937
NICOLE MARIE MCKENNEY BS
Specialist
183 ROCKINGHAM ROAD
WINDHAM, NH 03087
Rockingham County (603) 434-9937
RICHARD PETER DESCHENEAUX
Specialist
183 ROCKINGHAM ROAD
WINDHAM, NH 03087
Rockingham County (603) 434-9937
SOHER ZEKRA MORSI
Specialist
183 ROCKINGHAM ROAD
WINDHAM, NH 03087
Rockingham County (603) 434-9937
ROBERT PETER KLECAN BA
Specialist
183 ROCKINGHAM ROAD
WINDHAM, NH 03087
Rockingham County (603) 434-9937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Wood Bacon's NPI number?

The NPI number for Kathleen Wood Bacon is 1124072996. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Kathleen Wood Bacon located?

Kathleen Wood Bacon practices at 183 Rockingham Road, Windham, NH 03087. The listed phone number is (603) 434-9937.

What is Kathleen Wood Bacon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kathleen Wood Bacon enrolled in Medicare?

No. Kathleen Wood Bacon has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kathleen Wood Bacon accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan and WellSense Health Plan list Kathleen Wood Bacon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Wood Bacon was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.