Individual provider Active NPI

Joseph Clinton Bishop, LMSW

  • Clinical Social Worker
  • Fort Payne, AL
National Provider Identifier
1578393252
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6702G Issued in AL
Practice address
701B Gault Ave N
Fort Payne, AL 35967-2627
Phone
(256) 979-1620
Fax
(205) 263-6462
NPI assigned
Aug 6, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6702G AL Primary

Addresses

Primary practice location

701B Gault Ave N
Fort Payne, AL 35967-2627

Mailing address

1353 N Valley Ave
Collinsville, AL 35961-3300
Phone (256) 641-0413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6702GALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Ministries, Inc. CurrentSince Aug 11, 2024 Accepting new patients

Locations

701 Gault Ave N
#B
Fort Payne, AL 35967
Phone (256) 979-1620

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1578393252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 N VALLEY AVE",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "359613300",
            "telephone_number": "256-641-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701B GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359672627",
            "telephone_number": "256-979-1620",
            "fax_number": "205-263-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JOSEPH",
        "middle_name": "CLINTON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "6702G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.