Individual provider Active NPI

Tanya Bingham, MSW

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1851498174
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007164 Issued in CT
Practice address
36 Sheffield St
Waterbury, CT 06704-1048
Phone
(203) 596-9724
NPI assigned
Sep 20, 2006
Last updated
Oct 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 007164 CT Primary

Addresses

Primary practice location

36 Sheffield St
Waterbury, CT 06704-1048

Mailing address

36 Sheffield St
Waterbury, CT 06704-1048
Phone (203) 596-9724

Other identifiers 1

IdentifierTypeStateIssuer
007164OtherCTSTATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20161130000974 CT Practitioner - Clinical Social Worker 4981984366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

990 Migeon Ave
Torrington, CT 06790-4555
Phone (203) 819-0789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7164CTMDSocial Worker
007164CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Clinical CurrentSince Mar 18, 2020 Accepting new patients
Step Up Care PC LLC Clinical CurrentSince Aug 14, 2020 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Aug 2, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Aug 2, 2024 Accepting new patients

Locations

900 Straits Tpke
Ste 203A
Middlebury, CT 06762

169 Main St
Fl 3
Middletown, CT 06457
Phone (610) 618-6247

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

44 Abbott Ter
Waterbury, CT 06702
Phone (203) 755-4870

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

Interoperability endpoints

  • Direct secure messaging: tanya.bingham.1@28623.direct.athenahealth.com

Organizations & group practices 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1851498174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SHEFFIELD ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041048",
            "telephone_number": "203-596-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SHEFFIELD ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041048",
            "telephone_number": "203-596-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "TANYA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "007164",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.