Active NPI
Cristal C Barko, LCSW
- Clinical Social Worker
- Prescott, AZ
National Provider Identifier
1306168356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15623
- Practice address
- 1090 Commerce Dr
Prescott, AZ 86305-3700 - Phone
- (928) 442-5495
- Fax
- (866) 812-1253
- NPI assigned
- Feb 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15623 | AZ | Primary |
Addresses
Primary practice location
1090 Commerce Dr
Prescott, AZ 86305-3700
Mailing address
1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 442-5495
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 |
|---|---|---|---|
| 15623 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1306168356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 COMMERCE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863053700",
"telephone_number": "928-442-5495",
"fax_number": "866-812-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 COMMERCE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863053700",
"telephone_number": "928-442-5495",
"fax_number": "866-812-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKO",
"first_name": "CRISTAL",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-18",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "15623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.