JAIME LEE BACON (NPI# 1376758342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376758342 |
| Entity Type | Individual |
| Full Name | JAIME LEE BACON |
| Credential | LCSW |
| Practice Address |
230 N 1680 E Ste T2 Saint George UT 84790-2573 |
| Practice Telephone | 4356522114 |
| Practice Fax Number | 4356522132 |
| Mailing Telephone | 4356522114 |
| Mailing Fax Number | 4356522132 |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2017-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-11011 | AZ | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
361006-3501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619103355 | Jaime Lee Bacon | Case Management | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2009-06-09 |
| Street Address |
230 N 1680 E STE T2 |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84790-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039178 | Abbey Robison | Behavioral Analyst | 230 N 1680 E, Saint George, UT 84790-2579 | 2020-09-24 |
| 1790256485 | Garrett Bartyn | Behavior Technician | 230 N 1680 E, Saint George, UT 84790-2579 | 2018-12-06 |
| 1336518000 | Tyler Olson | Behavioral Analyst | 230 N 1680 E, Suit A, Saint George, UT 84790-2579 | 2015-09-23 |
| 1457793697 | Huntsman West Spine LLC | Orthopaedic Surgery | 230 N 1680 E, Ste I-1, Saint George, UT 84790-2579 | 2013-07-29 |
| 1952696270 | Jacob S Roberts | Nurse Practitioner | 230 N 1680 E, Suite H1, Saint George, UT 84790-2579 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685571 | Better Options Counseling LLC | Social Worker | 3450 E Barrel Roll Dr, Saint George, UT 84790-5045 | 2020-10-05 |
| 1336785831 | Dakota Jack Callahan | Social Worker | 377 E Riverside Dr, Saint George, UT 84790-4765 | 2019-11-20 |
| 1306333281 | Craig L Skousen | Social Worker | 1630 E 2450 S Unit 121, Saint George, UT 84790-6234 | 2018-04-17 |
| 1922507821 | Southern Utah Family Counseling | Social Worker | 321 N Mall Dr Ste B201, Saint George, UT 84790-7310 | 2018-02-06 |
| 1215449285 | Mckenzie Marie Esplin | Social Worker | 135 N 900 E Ste 2, Saint George, UT 84770-3263 | 2017-10-31 |
| 1225480130 | Megan Chepkwurui | Social Worker | 2801 E 450 N Apt 50, Saint George, UT 84790-7257 | 2016-07-05 |
| 1235471533 | Kaden Benjamin Rogers | Social Worker | 2403 S 1100 W, Saint George, UT 84770-7344 | 2013-03-25 |
| 1336438175 | Kassandra Stiggins | Social Worker | 92 North 2040 East, Saint George, UT 84790 | 2011-04-01 |
| 1770765968 | Amie Tuckett Richmond | Social Worker | 1173 S 250 W Ste 203, Saint George, UT 84770-6741 | 2007-11-29 |
| 1942362629 | Helen Marie Shumway | Social Worker | 166 N 300 W # 4, Saint George, UT 84770-2770 | 2006-12-15 |
| Find all providers in SAINT GEORGE | ||||
| City | SAINT GEORGE |
| Zip Code | 84790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.