Cameron Thomas Bishop, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004745 Issued in GA

Practice address

4580 N Mumford Rd
Macon, GA 31210-4033

Phone

(478) 471-3711

NPI assigned

Mar 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Wesley Glen Ministries

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Macon, GA
  • NPI 1740698653
  NPD (past)

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1184966889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 N MUMFORD RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104033",
            "telephone_number": "478-202-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 N MUMFORD RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104033",
            "telephone_number": "478-471-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "CAMERON",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Iacoboni Birdsong, MD
• Emily Birdsong, NP
• Tarek Bisat, MD
• Peter Bishara, D.O., M.B.S.
• Aubrey Bishop, NP
• Sally Ann Bissell, APRN
• Katherine Black, MD
• Kathryn Corish Blackwell, OTR/L
• Robert Everard Blackwell, MD
• Kimathi Sipho Ricardo Blackwood, M.D.

• Clinical Social Worker in Macon, GA
• Providers in Macon, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.