Individual provider Active NPI

Mariah F Bingham, LISW

  • Clinical Social Worker
  • Middletown, OH
National Provider Identifier
1831569482
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4464 S Dixie Hwy
Middletown, OH 45005-5464
Phone
(513) 649-8008
Fax
(513) 649-8004
NPI assigned
Sep 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X S.1600714 OH
Social Worker 104100000X S.1600714 OH
Clinical Social Worker 1041C0700X OH Primary

Addresses

Primary practice location

4464 S Dixie Hwy
Middletown, OH 45005-5464

Mailing address

4464 S Dixie Hwy
Middletown, OH 45005-5464
Phone (513) 649-8008

Other identifiers 4

IdentifierTypeStateIssuer
01-0693OtherOHCARF CERTIFICATION
0074861OtherOHODADAS GROUP NUMBER
H130910OtherOHMEDICARE PTAN GROUP
0074946OtherOHODMH GROUP NUMBER

Other names 1

  • Mariah F Fitzpatrick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200207001299 OH Practitioner - Clinical Social Worker 9436585577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wright State University Boonshoft School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Counseling Services LLCGroup PAC ID 4880844513, 24 clinicians

Practice addresses (Care Compare)

4464 S Dixie Hwy
Middletown, OH 45005-5464
Phone (513) 649-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1600714OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Counseling Services LLC Mental Health CurrentSince Jan 20, 2020 Accepting new patients
Access Counseling Services, LLC PastSince Jan 20, 2020 Accepting new patients

Locations

4464 S Dixie Hwy
Middletown, OH 45005
Phone 5136498008 ext. 22

Organizations & group practices 2

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": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1831569482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 S DIXIE HWY",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055464",
            "telephone_number": "513-649-8008",
            "fax_number": "513-649-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4464 S DIXIE HWY",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055464",
            "telephone_number": "513-649-8008",
            "fax_number": "513-649-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "MARIAH",
        "middle_name": "F",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1600714",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600714",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF CERTIFICATION",
            "identifier": "01-0693",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODADAS    GROUP NUMBER",
            "identifier": "0074861",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN  GROUP",
            "identifier": "H130910",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMH   GROUP NUMBER",
            "identifier": "0074946",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "FITZPATRICK",
            "middle_name": "F",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.