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TIFFANY BACON LLMSW
NPI 1942754643
Social Worker in Berkley, MI

Active since August 10, 2016PECOS Enrolled
2351 W 12 MILE RD, BERKLEY, MI 48072(313) 687-3860 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffany Bacon Llmsw NPPES

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

TIFFANY BACON LLMSW (NPI 1942754643) is an individual social worker in Berkley, Michigan, licensed in Michigan (6801098086) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2015).

NPPES Registry Identity

NPI1942754643
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTIFFANY BACONCredential: LLMSW
Location Address2351 W 12 MILE RDBerkley, MI 48072-1826
Mailing Address2351 W 12 Mile RdBerkley, MI 48072-1826 · (313) 687-3860
Phone(313) 687-3860
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2015
Enumeration DateAugust 10, 2016
✔ NPI 1942754643 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 MI · 6801098086
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.
2351 W 12 MILE RD, Berkley, MI 48072
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Bacon Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597268680
PECOS Enrollment IDI20250913000266
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 6

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

EMILY MANDIGO LMSW, CCS, CAADC
Social Worker (Clinical)
2351 W 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 853-0750
MR. RYAN LEE THOMASON BA
Social Worker (School)
2351 W 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-4006
MS. SOPHELIA ERNESTINE GRIFFIN
Counselor
2351 W 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-4006
SPARKLE CRUJHON JOHNSON LLMSW
Social Worker (Clinical)
2351 W 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 858-7756
ALEXANDRIA MICHELLE CABELL LMSW
Social Worker (Clinical)
2351 W 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-4004
SHARMAYNE LATRICE BROWN
Counselor
2351 W 12 MILE RD
BERKLEY, MI 48072
Oakland County (248) 544-4004

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 Tiffany Bacon's NPI number?

The NPI number for Tiffany Bacon is 1942754643. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Tiffany Bacon located?

Tiffany Bacon practices at 2351 W 12 Mile Rd, Berkley, MI 48072. The listed phone number is (313) 687-3860.

What is Tiffany Bacon's specialty?

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

Is Tiffany Bacon enrolled in Medicare?

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

What insurance does Tiffany Bacon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Tiffany 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 Tiffany Bacon was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.