Erik Bidinger-Boggess, LCSW LICENSE#64039

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64039 Issued in CA

Practice address

772 S Mark St
Tulare, CA 93274-6031

Phone

(530) 864-9445

NPI assigned

Jan 8, 2007

Last updated

May 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Erik Sean Bidinger-Boggess

  • Clinical Social Worker
  • Tulare, CA
  • NPI 1801540588
  Authorized official Same address or phone
• Optum Behavioral Care of California, P.C.

  • Clinical Psychologist
  • Rancho Cucamonga, CA
  • NPI 1417718297
  NPD
• Optum Behavioral Care of California, P.C.

  • Clinical Social Worker
  • Costa Mesa, CA
  • NPI 1447137740
  NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1801944426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 S MARK ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932746031",
            "telephone_number": "530-864-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 S MARK ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932746031",
            "telephone_number": "530-864-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDINGER-BOGGESS",
        "first_name": "ERIK",
        "credential": "LCSW LICENSE#64039",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Bermudez
• Joseph Ryan Bertao, AMFT
• Abraham N Betre, MD, INC
• BH-TC Opco LLC (Jackson House Tulare)
• Angela R Bibbs
• Zara Beceril Bilal
• Ashley Marie Bird, MSW-INTERN
• Jade Bisconer
• Carlos Bishop, LPT
• Danielle Ranee Bishop, PT 35171

• Clinical Social Worker in Tulare, CA
• Providers in Tulare, 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 May 2, 2023; 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.