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TERESA BINGHAM LCSW
NPI 1164106647
Social Worker - Clinical in Beloit, WI

Active since June 14, 2023PECOS EnrolledAccepts Medicare Assignment
2797 PRAIRIE AVE, BELOIT, WI 53511(608) 312-2018 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Teresa Bingham Lcsw NPPES

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

TERESA BINGHAM LCSW (NPI 1164106647) is an individual clinical provider in Beloit, Wisconsin, licensed in Wisconsin (11590-123) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164106647
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTERESA BINGHAMCredential: LCSW
Location Address2797 PRAIRIE AVEBeloit, WI 53511-2288
Mailing Address2314 N Burdick RdJanesville, WI 53548-9006
Phone(608) 312-2018
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 14, 2023
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1164106647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WI · 11590-123✔ Licensed in WI · 132586-121
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.
2797 PRAIRIE AVE, Beloit, WI 53511
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1903 Mineral Point AveJanesville, WI 53548-2970 · Phone (608) 756-5555 · Fax (608) 756-0174
Location 2115 S Franklin StJanesville, WI 53548-3812 · Phone (608) 563-7020 · Fax (608) 563-7098

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, MercyCare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa Bingham Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648705939
PECOS Enrollment IDI20241122003280
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Teresa Bingham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health On Prairie
Same address
Mental Health (Including Community Mental Health Center)
2797 PRAIRIE AVE STE 22
Beloit, WI 53511
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1942063482 (608) 481-2330
Mercy Health System Corporation
8.8 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630
Grow Healthcare Group PA
1,260 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Wisconsin enrollment
  • 163 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 3

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

MARIA REITER
Social Worker
2797 PRAIRIE AVE
BELOIT, WI 53511
Rock County (608) 299-7669
JAIMEE MILLER
Social Worker (Clinical)
2797 PRAIRIE AVE
BELOIT, WI 53511
Rock County (608) 299-7669
DR. JAMES CALDWELL BURSINGER DDS
Dentist
2797 PRAIRIE AVE, SUITE 24
BELOIT, WI 53511
Rock County (608) 362-7443

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 Teresa Bingham's NPI number?

The NPI number for Teresa Bingham is 1164106647. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Teresa Bingham located?

Teresa Bingham practices at 2797 Prairie Ave, Beloit, WI 53511. The listed phone number is (608) 312-2018.

What is Teresa Bingham's specialty?

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

Is Teresa Bingham enrolled in Medicare?

Yes. Teresa Bingham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Teresa Bingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Bingham reassigns Medicare benefits to 3 organizations: Mental Health On Prairie (Beloit, WI), Mercy Health System Corporation (Janesville, WI) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Bingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Bingham accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, MercyCare and MercyCare Health Plans list Teresa Bingham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresa Bingham was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.