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

Gregory J Bacon, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1619616299

Gregory J Bacon, MSW, LCSW is a Clinical Social Worker in Springfield, Missouri. Qualified in 2022, 4 years ago. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

630 W Kearney St
Springfield, MO 65803-2508
Phone: (417) 761-5000
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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 2026014312 (MO)

Record details

NPI number1619616299
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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