Individual provider Active NPI

Diana Barkman, LISW

  • Clinical Social Worker
  • Kent, OH
National Provider Identifier
1235292020
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I9159 Issued in OH
Practice address
190 Currie Hall Pkwy
Kent, OH 44240-4312
Phone
(330) 673-5812
Fax
(330) 673-7162
NPI assigned
Dec 19, 2006
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 991788 OH
Social Worker 104100000X I9159 OH
Clinical Social Worker 1041C0700X I9159 OH Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000680 OH Practitioner - Clinical Social Worker 5193742930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 5799748919, 13 clinicians

Practice addresses (Care Compare)

190 Currie Hall Pkwy
Kent, OH 44240-4312
Phone (330) 673-5812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991788OHMDAddiction (Substance Use Disorder) Counselor
I9159OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Robinson & Associates LLC CurrentSince Oct 6, 2014 Accepting new patients
Northeast Ohio Behavioral Health Past Accepting new patients

Locations

190 Currie Hall Pkwy
Kent, OH 44240
Phone (330) 673-5812

190 Currie Hall Pkwy
#A
Kent, OH 44240
Phone (330) 673-5212

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1235292020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CURRIE HALL PKWY",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404312",
            "telephone_number": "330-673-5812",
            "fax_number": "330-673-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CURRIE HALL PKWY",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404312",
            "telephone_number": "330-673-5812",
            "fax_number": "330-673-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKMAN",
        "first_name": "DIANA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "991788",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I9159",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I9159",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "I9159",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "I9159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.