Krissy Bynum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW101249 Issued in CA

Practice address

110 S Montclair St Ste 106
Bakersfield, CA 93309-3118

Phone

(661) 473-0090

Fax

(661) 735-0109

NPI assigned

Jun 21, 2011

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bynum Licensed Clinical Social Work Inc.

  • Clinical Social Worker
  • Bakersfield, CA
  • NPI 1124850987
  NPD Authorized official
• Krissy Bynum MSW LCSW

  • Clinical Social Worker
  • Bakersfield, CA
  • NPI 1982275772
  NPD Authorized official
• Seeds of Change Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bakersfield, CA
  • NPI 1841022696
  NPD Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1376839175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MONTCLAIR ST STE 106",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093118",
            "telephone_number": "661-473-0090",
            "fax_number": "661-735-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MONTCLAIR ST STE 106",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093118",
            "telephone_number": "661-473-0090",
            "fax_number": "661-735-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Montclair St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933093111",
            "country_code": "US",
            "telephone_number": "661-473-0090",
            "fax_number": "661-735-0109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "KRISSY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW101249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Buys
• Brenda Joyce Buzby, DDS
• Frank Buzugbe, DNAP
• Steven Lee Bylund, PH.D.
• Bynum Licensed Clinical Social Work Inc.
• Tracy Diane Byrd, RN
• Shaina Christine Byrnes
• Byron S K Mui M D F a C P a Medical Corporation
• C, Rose Rabinov, M.D., Inc
• C. Jerry Chen, DDS, Inc

• Clinical Social Worker in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.