Individual provider Active NPI

Erica Bingham, LCSW

  • Clinical Social Worker
  • Desoto, TX
National Provider Identifier
1639812142
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66516 Issued in TX
Practice address
128 Highridge Dr
Desoto, TX 75115-6222
Phone
(214) 621-5814
NPI assigned
Apr 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 66516 TX Primary

Addresses

Primary practice location

128 Highridge Dr
Desoto, TX 75115-6222

Mailing address

128 Highridge Dr
Desoto, TX 75115-6222
Phone (214) 621-5814

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ericabingham@newhorizonsolutions.com.mx Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230728002481 TX Practitioner - Clinical Social Worker 7012378607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66516TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC CurrentSince Sep 13, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 25, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Interoperability endpoints

  • Direct secure messaging: ericabingham@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1639812142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 HIGHRIDGE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751156222",
            "telephone_number": "214-621-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HIGHRIDGE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751156222",
            "telephone_number": "214-621-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "ERICA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ericabingham@newhorizonsolutions.com.mx",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Desoto",
            "address_1": "128 Highridge Dr",
            "city": "DeSoto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751156222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.