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JUSTIN BASHORE LCSW
NPI 1013409325
Social Worker - Clinical in San Diego, CA

Active since June 01, 2018PECOS Enrolled
9988 HIBERT ST STE 102, SAN DIEGO, CA 92131(619) 549-0329 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2025, Nov 1, 2023, Jul 20, 2022 and 1 more (4 updates tracked since 2022).

About Justin Bashore Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN BASHORE LCSW (NPI 1013409325) is an individual clinical provider in San Diego, California, licensed in California (LCSW133623) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013409325
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN BASHORECredential: LCSW
Location Address9988 HIBERT ST STE 102San Diego, CA 92131-2480
Mailing Address4150 Ingraham St Apt 3San Diego, CA 92109-5457 · (989) 292-1736
Phone(619) 549-0329
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 1, 2018
Last NPPES UpdateSeptember 9, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1013409325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW133623
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
9988 HIBERT ST STE 102, San Diego, CA 92131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Bashore Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496051484
PECOS Enrollment IDI20260225003801
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN BOUNYAVONG
Marriage & Family Therapist
9988 HIBERT ST STE 102
SAN DIEGO, CA 92131
San Diego County (619) 549-0329
LANELLE N TERAN ASW
Counselor (Professional)
9988 HIBERT ST STE 102
SAN DIEGO, CA 92131
San Diego County (619) 549-0329

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Bashore's NPI number?

The NPI number for Justin Bashore is 1013409325. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Justin Bashore located?

Justin Bashore practices at 9988 Hibert St Ste 102, San Diego, CA 92131. The listed phone number is (619) 549-0329.

What is Justin Bashore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Justin Bashore enrolled in Medicare?

Yes. Justin Bashore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Bashore was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.