Geoffrey Bestman Ibeabuchi, DR. PH.D LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW18357 Issued in CA

Practice address

255 N. D Street, Unit 400
San Bernardino, CA 92401

Phone

(909) 567-2808

Fax

(909) 383-4466

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Youths' Hope Licensed Clinical Social Worker Inc

  dba Youth Hope Inc

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1770845497
  NPD (past) Authorized official
• Youth Hope Licensed Clinical Social Worker Corp

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1033779343
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1932241635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "PATTON",
            "state": "CA",
            "postal_code": "923690264",
            "telephone_number": "909-567-2808",
            "fax_number": "909-383-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N. D STREET, UNIT 400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92401",
            "telephone_number": "909-567-2808",
            "fax_number": "909-383-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEABUCHI",
        "first_name": "GEOFFREY",
        "middle_name": "BESTMAN",
        "name_prefix": "Dr.",
        "credential": "DR. PH.D LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18357",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW18357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iam Medical Clinic
• Brenda Lizeth Ibarra, M.A. MFTI
• Fabiola Ibarra
• Miguel Angel Ibarra
• Raquel Ibarra
• Lawal Abiodun Ibrahim-Balogun
• Amal Shoukry Ibrahim, M.D.
• Iglesia Evangelica Ministerios El Remanente
• Carmela Villarin Ignacio, NP
• Gian Christian Tongson Ignacio, MD

• Clinical Social Worker in San Bernardino, CA
• Providers in San Bernardino, 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 Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.