Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jean Laroyce Bacon, PHD

Individual provider Clinical Social Worker · NPI 1184846818

Dr. Jean Laroyce Bacon, PHD is a Clinical Social Worker in Bay Shore, New York. Qualified in 1992, 34 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

83 E Main St
Bay Shore, NY 11706-8305
Phone: (631) 666-5067
Fax: (631) 593-5472
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1735 N Ocean Ave Ste D, Medford, NY 11763-2671 — (631) 666-5067

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 045056-1 (NY)

Record details

NPI number1184846818
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 3, 2007
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bay Shore