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LORI BACON LMSW
NPI 1700158953
Social Worker in West Memphis, AR

Active since February 03, 2012PECOS Enrolled
410 S AVALON ST, WEST MEMPHIS, AR 72301(870) 702-7300(870) 702-7390 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lori Bacon Lmsw NPPES

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

LORI BACON LMSW (NPI 1700158953) is an individual social worker in West Memphis, Arkansas and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700158953
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameLORI BACONCredential: LMSW
Location Address410 S AVALON STWest Memphis, AR 72301-4183
Mailing Address703 Calvin Avery Dr, Suite AWest Memphis, AR 72301-6501 · (870) 732-1878 · Fax (870) 702-7111
Phone(870) 702-7300
Fax(870) 702-7390
Sole ProprietorNo
Enumeration DateFebruary 3, 2012
Last NPPES UpdateApril 8, 2016
✔ NPI 1700158953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
410 S AVALON ST, West Memphis, AR 72301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Bacon Lmsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Lori Bacon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alliance Healthcare Services
12 mi
Community/Behavioral Health
2150 WHITNEY AVE
Memphis, TN 38127
  • Reassigned Medicare billing, Tennessee enrollment
  • 86 clinicians in this Medicare group
NPI 1295898393 (901) 353-5440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

HAVEN DETOX OF WEST MEMPHIS, LLC
Substance Abuse Rehabilitation Facility
410 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (561) 635-2400
HANNAH LEE BRENNER
Nurse Practitioner (Psychiatric/Mental Health)
410 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (901) 621-3966
MR. PATRICK MOODY MHPP
Case Manager/Care Coordinator
410 S AVALON ST, VFW DRIVE
WEST MEMPHIS, AR 72301
Crittenden County (870) 394-9575
BEHAVIORAL HEALTH SERVICES OF WEST MEMPHIS LLC
Psychiatric Hospital
410 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (561) 461-3791
MR. ALBERT EDWIN JONES LCSW
Social Worker (Clinical)
410 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (870) 394-9577
MS. PATRICIA HARPER MHPP
Case Manager/Care Coordinator
410 S AVALON ST, VFW DRIVE
WEST MEMPHIS, AR 72301
Crittenden County (870) 394-9575
ASIA GLENN
Case Manager/Care Coordinator
410 S AVALON ST, VFW DRIVE
WEST MEMPHIS, AR 72301
Crittenden County (870) 394-9577
ALF PROPERTIES OF CRITTENDEN COUNTY, LLC
Assisted Living Facility (Assisted Living, Mental Illness)
410 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (870) 732-1878

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 Lori Bacon's NPI number?

The NPI number for Lori Bacon is 1700158953. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Lori Bacon located?

Lori Bacon practices at 410 S Avalon St, West Memphis, AR 72301. The listed phone number is (870) 702-7300.

What is Lori Bacon's specialty?

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

Is Lori Bacon enrolled in Medicare?

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

Which organization bills Medicare for Lori Bacon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Bacon reassigns Medicare benefits to Alliance Healthcare Services (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lori Bacon was last updated on April 8, 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.