MR. JESSE BACON MSW
NPI 1548605173
Social Worker in Roseville, MI

Active since May 09, 2013PECOS Enrolled
18303 E 10 MILE RD STE 200, ROSEVILLE, MI 48066(586) 745-0116 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2018, Jan 16, 2017 (2 updates tracked since 2017).

About Mr. Jesse Bacon Msw NPPES

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

MR. JESSE BACON MSW (NPI 1548605173) is an individual social worker in Roseville, Michigan, licensed in Michigan (6801095708) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548605173
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. JESSE BACONCredential: MSW
Location Address18303 E 10 MILE RD STE 200Roseville, MI 48066-4989
Mailing Address18303 E 10 Mile Rd Ste 200Roseville, MI 48066-4989 · (586) 745-0116
Sole ProprietorNo
Enumeration DateMay 9, 2013
Last NPPES UpdateSeptember 19, 20182 updates tracked since enumeration
NPI 1548605173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MI · 6801095708
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
18303 E 10 MILE RD STE 200, Roseville, MI 48066

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jesse Bacon Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Social Worker
18303 E 10 MILE RD STE 200
ROSEVILLE, MI 48066
Social Worker
18303 E 10 MILE RD STE 200
ROSEVILLE, MI 48066
Social Worker (Clinical)
18303 E 10 MILE RD STE 200
ROSEVILLE, MI 48066
Social Worker
18303 E 10 MILE RD STE 200
ROSEVILLE, MI 48066
Social Worker (Clinical)
18303 E 10 MILE RD STE 200
ROSEVILLE, MI 48066
Counselor (Mental Health)
18303 E 10 MILE RD STE 200
ROSEVILLE, MI 48066
Psychologist
18303 E 10 MILE RD STE 200
ROSEVILLE, MI 48066
Social Worker
18303 E 10 MILE RD STE 200
ROSEVILLE, MI 48066

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 Jesse Bacon's NPI number?

The NPI number for Jesse Bacon is 1548605173. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Jesse Bacon located?

Jesse Bacon practices at 18303 E 10 Mile Rd Ste 200, Roseville, MI 48066. The listed phone number is (586) 745-0116.

What is Jesse Bacon's specialty?

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

Is Jesse Bacon enrolled in Medicare?

Yes. Jesse Bacon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Bacon was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.