Individual provider Active NPI

Theresa L Barna

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1194586693
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW138624 Issued in PA
Practice address
250 S 17TH St Ste 101
Philadelphia, PA 19103-6336
Phone
(215) 545-7800
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW138624 PA Primary

Addresses

Primary practice location

250 S 17TH St Ste 101
Philadelphia, PA 19103-6336

Mailing address

140 Levering St
Philadelphia, PA 19127-1411
Phone (267) 221-8432

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
SW138624PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Psychology Services, PC CurrentSince Jan 28, 2024 Accepting new patients

Locations

250 S 17th St
Ste 101
Philadelphia, PA 19103
Phone (215) 545-7800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1194586693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LEVERING ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271411",
            "telephone_number": "267-221-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 17TH ST STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036336",
            "telephone_number": "215-545-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNA",
        "first_name": "THERESA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW138624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.