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

Individual provider Mental Health Counselor · NPI 1558344523

Kendall F Bacon, MSW is a Clinical Social Worker in Fitchburg, Massachusetts. Qualified in 1968, 58 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
58
Licensed in
MA
In the registry since
2005
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

915 S St
Fitchburg, MA 01420
Phone: (978) 345-4147
Fax: (978) 345-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 105716 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 105716 (MA)
Social Worker Taxonomy 104100000X · Licence 105716 (MA)

Record details

NPI number1558344523
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1968 (58 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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