Organization Active NPI

Bingham Child Guidance Clinic

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1225153307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BINGHAM CHILD GUIDANCE CLINIC
Practice address
200 E Chestnut St
Louisville, KY 40202-1831
Phone
(502) 852-6941
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. April Roberson, CSW
Title
Social Worker
Phone
(502) 852-6941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

200 E Chestnut St
Louisville, KY 40202-1831

Mailing address

200 East Chestnut Street
Louisville, KY 40202-1831

Other identifiers 1

IdentifierTypeStateIssuer
KY 4686OtherKYKY BOARD OF SOCIAL WORK

National Provider Directory

National Provider Directory
Tax ID family
Bingham Child Guidance Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225153307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST CHESTNUT STREET",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-852-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINGHAM CHILD GUIDANCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "502-852-6941",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY BOARD OF SOCIAL WORK",
            "identifier": "KY 4686",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.