Diana Barkman, LISW
Individual provider Active NPI Clinical Social Worker · Kent, OH
NPI 1235292020 · NPPES record last updated Jun 9, 2015
Key facts
- NPI
- 1235292020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I9159 (OH)
- Practice address
- 190 Currie Hall Pkwy
Kent, OH 44240-4312 - Phone
- (330) 673-5812
- Fax
- (330) 673-7162
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Gary Robinson and Associates LLC
Practice addresses (Care Compare)
190 Currie Hall Pkwy
Kent, OH 44240-4312
Phone (330) 673-5812
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051031000680 | OH | Practitioner - Clinical Social Worker | 5193742930 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 991788 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I9159 | OH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary Robinson & Associates LLC | Current |
Accepting new patients | |
| Northeast Ohio Behavioral Health | Past | Accepting new patients |
Locations
190 Currie Hall Pkwy
#A
Kent, OH 44240
Phone (330) 673-5212
190 Currie Hall Pkwy
Kent, OH 44240
Phone (330) 673-5812
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 991788 | OH | |
| Social Worker | 104100000X | I9159 | OH | |
| Clinical Social Worker | 1041C0700X | I9159 | OH | Yes |
| School Social Worker | 1041S0200X | I9159 | OH | |
| Marriage & Family Therapist | 106H00000X | I9159 | OH |
Addresses
Primary practice location
190 Currie Hall Pkwy
Kent, OH 44240-4312
Mailing address
190 Currie Hall Pkwy
Kent, OH 44240-4312
Phone (330) 673-5812
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.