NPI 1295098705 · live from the CMS NPI Registry
Mutale Pauline Bingley, LCSW
Social Worker, Clinical in Braselton, GA. National Provider Identifier 1295098705, active.
NPI record
| NPI | 1295098705 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1515 River Pl Ste 200, Braselton, GA 30517 |
| Practice phone | 770-848-6140 |
| Mailing address | Po Box 742616, Atlanta, GA 30374 |
| Enumerated | June 19, 2012 |
| Last updated | December 8, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 399 (AK) |
| Social Worker, Clinical primary | 1041C0700X | CSW006221 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.