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DR. JEAN LAROYCE BACON PH.D.
NPI 1184846818
Social Worker - Clinical in Bay Shore, NY

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
83 E MAIN ST, BAY SHORE, NY 11706(631) 666-5067(631) 593-5472 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jean Laroyce Bacon Ph.d. NPPES

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

DR. JEAN LAROYCE BACON PH.D. (NPI 1184846818) is an individual clinical provider in Bay Shore, New York, licensed in New York (045056-1) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Medford, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1184846818
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. JEAN LAROYCE BACONCredential: PH.D.
Location Address83 E MAIN STBay Shore, NY 11706-8305
Mailing Address34 Fire Road DrBay Shore, NY 11706-3947 · (631) 834-0388 · Fax (631) 593-5472
Phone(631) 666-5067
Fax(631) 593-5472
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMay 3, 2007
Last NPPES UpdateApril 14, 2020
NPPES CertifiedApril 14, 2020
✔ NPI 1184846818 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 NY · 045056-1
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.
83 E MAIN ST, Bay Shore, NY 11706
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Secondary Practice Location 1

Location 11735 N Ocean Ave Ste DMedford, NY 11763-2671 · Phone (631) 666-5067

Other Identifiers 2

Medicaid02896748NY
OtherA400010901NY · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jean Laroyce Bacon Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486703808
PECOS Enrollment IDI20090514000135
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
437 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

BUTTERFLY LCSW PC
Social Worker (Clinical)
83 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 666-5067
KASONDRA HESTER MHC
Counselor (Mental Health)
83 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 666-5067
MR. QUINN EDWARD FUNN II B.A, M.A
Psychologist (Counseling)
83 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 830-7810
PAMELA DEBORAH GALLO
Counselor (Mental Health)
83 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 488-3645
MS. KATHERINNE T. ARIZAGA
Social Worker
83 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 666-5067
MARY M KENNY CORRON LCSW
Social Worker (Clinical)
83 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 219-4975
DEYANIRA RIVERA
Counselor (Mental Health)
83 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 339-0168
KYLE VIOLA
Counselor (Mental Health)
83 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 666-5067

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 Jean Bacon's NPI number?

The NPI number for Jean Bacon is 1184846818. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Jean Bacon located?

Jean Bacon practices at 83 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 666-5067.

What is Jean Bacon's specialty?

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

Is Jean Bacon enrolled in Medicare?

Yes. Jean Bacon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jean Bacon accept?

Health plans from Providence Health Plan list Jean 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 Jean Bacon was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.