Barbara Claire Short, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R045512 Issued in NY

Practice address

7634 Campbell Creek Rd
Bath, NY 14810-7612

Phone

(607) 776-4151

Fax

(607) 776-6929

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Family Life Ministries Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bath, NY
  • NPI 1124772637
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1306923289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7634 CAMPBELL CREEK RD",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148107612",
            "telephone_number": "607-776-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7634 CAMPBELL CREEK RD",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148107612",
            "telephone_number": "607-776-4151",
            "fax_number": "607-776-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Bath",
            "state": "NY",
            "postal_code": "148101508",
            "country_code": "US",
            "telephone_number": "607-776-6577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Sly Ave",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "NY",
            "postal_code": "148301842",
            "country_code": "US",
            "telephone_number": "607-776-4151",
            "fax_number": "607-776-6929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "BARBARA",
        "middle_name": "CLAIRE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00045512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Searfoss, CASAC
• Shadoe Sellers Sr., LMSW
• Donald Session, RPA-C
• Wayne Russell Sharaf, MD
• Jessica Rae Shepard
• Gary L Short, LCSW-R
• Pamela Shriver
• Amy Shuart
• Cynthia A. Shull, RPH
• Harris Norman Silver, MD

• Clinical Social Worker in Bath, NY
• Providers in Bath, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.