Individual provider Active NPI

Crimson M Barocca, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1063751485
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13526 Issued in MD
Practice address
2300 N Charles St FL 4
Baltimore, MD 21218-5137
Phone
(410) 396-6147
Fax
(410) 235-1827
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13526 MD Primary

Addresses

Primary practice location

2300 N Charles St FL 4
Baltimore, MD 21218-5137

Mailing address

2300 N Charles St FL 4
Baltimore, MD 21218-5137
Phone (410) 396-6147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13526MDMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1063751485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N CHARLES ST FL 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185137",
            "telephone_number": "410-396-6147",
            "fax_number": "410-235-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N CHARLES ST FL 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185137",
            "telephone_number": "410-396-6147",
            "fax_number": "410-235-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROCCA",
        "first_name": "CRIMSON",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.