Individual provider Active NPI

Richard Alan Barr Jr., LCSW76119

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1306282728
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW76119 Issued in CA
Practice address
1669 N E St
San Bernardino, CA 92405-4405
Phone
(909) 886-6737
NPI assigned
May 13, 2013
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW76119 CA Primary

Addresses

Primary practice location

1669 N E St
San Bernardino, CA 92405-4405

Mailing address

PO Box 2745
Helendale, CA 92342-2745
Phone (951) 202-3100

Other practice location 1

11424 Chamberlaine Way # 11-12
Adelanto, CA 92301-2869
Phone (760) 246-0934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260320003715 CA Practitioner - Clinical Social Worker 0446734024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

PO Box
Suite 2745
Helendale, CA 92342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW76119CAMDClinical Social Worker

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1306282728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2745",
            "city": "HELENDALE",
            "state": "CA",
            "postal_code": "923422745",
            "telephone_number": "951-202-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054405",
            "telephone_number": "909-886-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11424 Chamberlaine Way # 11-12",
            "address_purpose": "LOCATION",
            "city": "Adelanto",
            "state": "CA",
            "postal_code": "923012869",
            "country_code": "US",
            "telephone_number": "760-246-0934",
            "fax_number": "760-246-0995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARR",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_suffix": "Jr.",
        "credential": "LCSW76119",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW76119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.