Individual provider Active NPI

Lyssa Barth, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1285142679
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50081949 Issued in DC
Practice address
1220 L St NW Ste 100-511
Washington, DC 20005-4018
Phone
(202) 270-0502
NPI assigned
Jan 19, 2018
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150101636 IL
Clinical Social Worker 1041C0700X LC50081949 DC Primary

Addresses

Primary practice location

1220 L St NW Ste 100-511
Washington, DC 20005-4018

Mailing address

1220 L St NW Ste 100-511
Washington, DC 20005-4018
Phone (202) 270-0502

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

LicenseStateTypeSpecialty
150101636ILMDSocial Worker
LC50081949DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barth Therapy CurrentSince Oct 1, 2019 Accepting new patients

Locations

1220 L St NW
Ste 100511
Washington, DC 20005
Phone (202) 270-0502

1320 19th St NW
Ste 200
Washington, DC 20036
Phone (202) 629-1949

1826 Jefferson Pl NW
Washington, DC 20036

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, 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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1285142679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 L ST NW STE 100-511",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054018",
            "telephone_number": "202-270-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 L ST NW STE 100-511",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054018",
            "telephone_number": "202-270-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "LYSSA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150101636",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.