MRS. AMY MARIE BACON MSW - NPI 1144239807 - Social Worker in Minneapolis, MN

Q: What is Amy Bacon's NPI number?

The NPI number for Amy Bacon is 1144239807. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Amy Bacon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Amy Bacon was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

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About Mrs. Amy Marie Bacon Msw NPPES

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

MRS. AMY MARIE BACON MSW (NPI 1144239807) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (8419) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1144239807

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. AMY MARIE BACONCredential: MSW

Location Address1 VETERANS DR, 4K-TBIMinneapolis, MN 55417-2309

Mailing Address5007 Westmill RdMinnetonka, MN 55345-3341 · (952) 938-1462

Phone(612) 725-2000

Fax(612) 467-2144

Sole ProprietorYes

Enumeration DateAugust 5, 2006

Last NPPES UpdateFebruary 26, 2026

NPPES CertifiedFebruary 26, 2026

✔ NPI 1144239807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 8419

Definition

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.

1 VETERANS DR, Minneapolis, MN 55417

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Other Providers at the Same Location NPPES 20

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

SHANNON MARIE KEHLE-FORBES PH.D., L.P.

Psychologist (Clinical)