Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Donna Tyese Bacon, EDD, LCSW, MSW, CT

Individual provider Clinical Social Worker · NPI 1821368077

Dr. Donna Tyese Bacon, EDD, LCSW, MSW, CT is a Clinical Social Worker in Amityville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

15 Harrison Ave #1A
Amityville, NY 11701-2426
Phone: (516) 884-4802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 070446 (NY)

Record details

NPI number1821368077
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD , LCSW , MSW , CT
Sole proprietorYes
NPI enumeratedJanuary 5, 2012
Last updated in NPPESJanuary 5, 2012

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