Individual provider Active NPI

Gregory George Barisich, L.C.S.W.

  • Clinical Social Worker
  • Camp Pendleton, CA
National Provider Identifier
1063755593
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16500 Issued in CA
Practice address
BLDG H-100 Santa Margarita Road
Naval Hospital, Camp Pendleton (N68094)
Camp Pendleton, CA 92055-9151
Phone
(760) 725-0025
NPI assigned
Apr 3, 2013
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 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 16500 CA Primary

Addresses

Primary practice location

BLDG H-100 Santa Margarita Road
Naval Hospital, Camp Pendleton (N68094)
Camp Pendleton, CA 92055-9151

Mailing address

PO Box 555191
Naval Hospital Camp Pendleton
Camp Pendleton, CA 02055-5191
Phone (760) 725-0025

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
28MTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1063755593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555191",
            "address_2": "NAVAL HOSPITAL CAMP PENDLETON",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "020555191",
            "telephone_number": "760-725-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG H-100 SANTA MARGARITA ROAD",
            "address_2": "NAVAL HOSPITAL, CAMP PENDLETON (N68094)",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920559151",
            "telephone_number": "760-725-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARISICH",
        "first_name": "GREGORY",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "16500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.