Linda Jewel Bingham, LCSW

Individual provider Active NPI Clinical Social Worker · Jay, OK

NPI 1710158191 · NPPES record last updated Aug 11, 2009

Key facts

NPI
1710158191
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
3584 (OK)
Practice address
1015 W Washbourne St
Jay, OK 74346-4205
Phone
(918) 253-4271
Fax
(918) 253-4938
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3584OKMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3584 OK Yes

Addresses

Primary practice location

1015 W Washbourne St
Jay, OK 74346-4205

Mailing address

PO Box 350
Jay, OK 74346-0350
Phone (918) 253-4271

Other providers in Jay, OK

All providers in Jay, OK · Clinical Social Worker in Oklahoma

Sources for this page

Verify at the official NPI Registry.