Active NPI
Barbara M. Warren, LCSW, LMFT
- Social Worker
- Fort Worth, TX
National Provider Identifier
1104856962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S16319
- Practice address
- 6040 Camp Bowie Boulevard
#43
Fort Worth, TX 76116-5601 - Phone
- (817) 926-4462
- Fax
- (817) 246-4177
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16319 | TX | |
| Social Worker | 104100000X | S16319 | TX | Primary |
Addresses
Primary practice location
6040 Camp Bowie Boulevard
#43
Fort Worth, TX 76116-5601
Mailing address
6040 Camp Bowie Boulevard
#43
Fort Worth, TX 76116-5601
Phone (817) 926-4462
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00S04R | Other | TX | BLUE CROSS & BLUE SHIELD |
| 345717000 | Other | TX | MAGELLAN |
| 10812275-02 | Medicaid | TX | |
| 1081275-02 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S16319 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1104856962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 CAMP BOWIE BOULEVARD",
"address_2": "#43",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165601",
"telephone_number": "817-926-4462",
"fax_number": "817-246-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 CAMP BOWIE BOULEVARD",
"address_2": "#43",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165601",
"telephone_number": "817-926-4462",
"fax_number": "817-246-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "BARBARA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "16319",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "S16319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "00S04R",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "345717000",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10812275-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1081275-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.