Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Bashore, LCSW

Individual provider Clinical Social Worker · NPI 1013409325

Justin Bashore, LCSW is a Clinical Social Worker in San Diego, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9988 Hibert St Ste 102
San Diego, CA 92131-2480
Phone: (619) 549-0329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW133623 (CA)
Mental Health Counselor Taxonomy 101YM0800X (CA)

Record details

NPI number1013409325
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 1, 2018
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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