Individual provider Active NPI

Justin Bingham, ASW

  • Social Worker
  • Roseville, CA
National Provider Identifier
1942956503
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW122515 Issued in CA
Practice address
1620 Santa Clara Dr Ste 100
Roseville, CA 95661-3559
Phone
(916) 786-3750
NPI assigned
Feb 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW122515 CA Primary

Addresses

Primary practice location

1620 Santa Clara Dr Ste 100
Roseville, CA 95661-3559

Mailing address

1620 Santa Clara Dr Ste 100
Roseville, CA 95661-3559
Phone (916) 786-3750

Other names 1

  • Justine Bingham Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW122515CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Community Programs CurrentSince Mar 6, 2022 Accepting new patients

Locations

1620 Santa Clara Dr
Ste 100
Roseville, CA 95661
Phone (916) 809-7222

Organizations & group practices 1

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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1942956503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 SANTA CLARA DR STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613559",
            "telephone_number": "916-786-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 SANTA CLARA DR STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613559",
            "telephone_number": "916-786-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "JUSTIN",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW122515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "BINGHAM",
            "credential": "ASW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.