Individual provider Active NPI

Mary Beth Binkert, LCSW

  • Clinical Social Worker
  • Chico, CA
National Provider Identifier
1932488541
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW29602 Issued in CA
Practice address
852 Manzanita CT Ste 140
Chico, CA 95926-2399
Phone
(530) 520-2255
Fax
(530) 894-5140
NPI assigned
Aug 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW29602 CA Primary

Addresses

Primary practice location

852 Manzanita CT Ste 140
Chico, CA 95926-2399

Mailing address

PO Box 1434
Chico, CA 95927-1434
Phone (530) 520-2255

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131113000129 CA Practitioner - Clinical Social Worker 3072749464 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

852 Manzanita CT
Suite 140
Chico, CA 95926-2399
Phone (530) 342-6236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29602CAMDPsychologist
LCSW29602CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1932488541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1434",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959271434",
            "telephone_number": "530-520-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 MANZANITA CT STE 140",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262399",
            "telephone_number": "530-520-2255",
            "fax_number": "530-894-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINKERT",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW29602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.