Provider Demographics
NPI:1932488541
Name:BINKERT, MARY BETH (LCSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:BETH
Last Name:BINKERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1434
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-1434
Mailing Address - Country:US
Mailing Address - Phone:530-520-2255
Mailing Address - Fax:
Practice Address - Street 1:852 MANZANITA CT STE 140
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2399
Practice Address - Country:US
Practice Address - Phone:530-520-2255
Practice Address - Fax:530-894-5140
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW296021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical