C Jim Bynum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0002652 Issued in FL

Practice address

1900 Hwy 87,
Unit G
Navarre, FL 32566-2831

Phone

(850) 710-3702

Fax

(850) 710-3702

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Directions Therapy and Learning Center

  • Clinical Social Worker
  • Navarre, FL
  • NPI 1144695644
  NPD (past)
• New Directions TLC LLP

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1316996416
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1093764987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HWY 87",
            "address_2": "UNIT G",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662831",
            "telephone_number": "910-494-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HWY 87,",
            "address_2": "UNIT G",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662831",
            "telephone_number": "850-710-3702",
            "fax_number": "850-710-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "C JIM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004611",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0002652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Brown, CF-SLP
• April Michelle Brun, O.D.
• Patricia Ann Burnett, ARNP
• Nicole Buscemi, MS, OTR/L
• Salamon Zachery Buss
• Claire Elena Byrne
• Angela M Calderon, ARNP
• Cammack Clinic PA
• Jiovannah Campbell, DDS
• Hannah Carey

• Clinical Social Worker in Navarre, FL
• Providers in Navarre, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.