Organization Active NPI

Krissy Bynum MSW LCSW

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1982275772
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KRISSY BYNUM MSW LCSW
Practice address
110 S Montclair St Ste 205
Bakersfield, CA 93309-3111
Phone
(661) 473-0090
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Krissy Bynum, LCSWNPI 1376839175
Title
LCSW/Therapist
Phone
(661) 473-0090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

110 S Montclair St Ste 205
Bakersfield, CA 93309-3111

Mailing address

110 S Montclair St Ste 205
Bakersfield, CA 93309-3111
Phone (661) 473-0090

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1982275772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MONTCLAIR ST STE 205",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093111",
            "telephone_number": "661-473-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MONTCLAIR ST STE 205",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093111",
            "telephone_number": "661-473-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISSY BYNUM MSW LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "KRISSY",
        "authorized_official_title_or_position": "LCSW/THERAPIST",
        "authorized_official_telephone_number": "661-473-0090",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.