EBONI R BACON
NPI 1265132203
Case Manager/Care Coordinator in Washington, DC

NPI Status: Active since March 08, 2023

Contact Information

3300 PENNSYLVANIA AVE SE
WASHINGTON, DC
ZIP 20020
Phone: (202) 878-6626

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  • Individual
  • Female
  • Case Manager/Care Coordinator

About EBONI BACON

This page provides the complete NPI Profile along with additional information for Eboni Bacon, a provider established in Washington, District Of Columbia with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1265132203 assigned on March 2023. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1265132203
Provider Name
EBONI R BACON
Gender
Female
Entity Type
Individual
Location Address
3300 PENNSYLVANIA AVE SE WASHINGTON, DC 20020
Location Phone
(202) 878-6626
Mailing Address
18474 BROOKE RD SANDY SPRING, MD 20860
Mailing Phone
(301) 252-4253
Is Sole Proprietor?
Yes
Enumeration Date
03-08-2023
Last Update Date
06-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1172V00000XOther Service Providers

Community Health Worker

 
2251S00000XAgencies

Community/Behavioral Health

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265132203
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2212523420
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 2 + 3 + 4 + 2 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1265132203 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275696015DR. EDWIN SAXTON WILLIAMS M.D.
Individual
Family Medicine3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 583-1194
1619315009GL MEDICAL, INC.
Organization
Clinic/Center (Occupational Medicine)3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 885-9326
1881232874 ARMANDINE LOWE LONGANG
Individual
Nurse Practitioner (Psychiatric/Mental Health)3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1952979510 GRACE MCKINNON
Individual
Social Worker3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 441-7966
1811565906 MARKIA MURPHY
Individual
Counselor (Mental Health)3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1851063846 CHAQUITA SLIGH LGSW
Individual
Social Worker3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 423-8244
1669124301MRS. CRYSTALL M SISCO
Individual
Social Worker3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1003324864UMBRELLA THERAPEUTIC SERVICES, INC.
Organization
Community/Behavioral Health3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 441-7966
1285967554DR. DEIDRA BEATRICE WALKER-QUARTERMAN PHD
Individual
Counselor (Mental Health)3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1295437945 KHIA JIGGETTS
Individual
Community Health Worker3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 867-7162
1356047179HELPSERVE
Organization
Clinic/Center (Adolescent and Children Mental Health)3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 234-2000
1386345072 SARALENE GREEN
Individual
Counselor (Mental Health)3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1730883273MRS. KHADIJATU NENEH THIOMBIANO
Individual
Registered Nurse3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1962102277 GAIL L PEACE
Individual
Case Manager/Care Coordinator3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1184326472 FATIMA LEWIS
Individual
Community Health Worker3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 468-3414
1316642366 D'ANDRE TINSLEY
Individual
Case Manager/Care Coordinator3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1427749456 REGINA RENA' WILSON
Individual
Community Health Worker3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1760185680 TRACEY WHITE
Individual
Case Manager/Care Coordinator3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1821788852 CHUCKIA SHANNON WILLIAMS POWELL
Individual
Community/Behavioral Health3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626
1821799719 BIBI BROWN
Individual
Community Health Worker3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020
(202) 878-6626

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265132203, enumerated in the NPI registry as an "individual" on March 08, 2023

The provider is located at 3300 Pennsylvania Ave Se Washington, Dc 20020 and the phone number is (202) 878-6626

The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X

This NPI record was last updated on March 08, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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