Active NPI
Paul Andrew Barko, LISW-S, LICDC
- Clinical Social Worker
- Maumee, OH
National Provider Identifier
1356415368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0001490
- Practice address
- 3600 Briarfield Blvd
Suite #3
Maumee, OH 43537-8919 - Phone
- (419) 866-2830
- Fax
- (419) 866-2831
- NPI assigned
- Nov 20, 2006
- Last updated
- Dec 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 81648 | OH | |
| Clinical Social Worker | 1041C0700X | I.0001490 | OH | Primary |
Addresses
Primary practice location
3600 Briarfield Blvd
Suite #3
Maumee, OH 43537-8919
Mailing address
3600 Briarfield Blvd
Suite #3
Maumee, OH 43537-8919
Phone (419) 866-2830
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 |
|---|---|---|---|
| 81648 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I.0001490 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabatan & Associates LLC | Clinical | Past | Accepting new patients |
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": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1356415368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 BRIARFIELD BLVD",
"address_2": "SUITE #3",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435378919",
"telephone_number": "419-866-2830",
"fax_number": "419-866-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 BRIARFIELD BLVD",
"address_2": "SUITE #3",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435378919",
"telephone_number": "419-866-2830",
"fax_number": "419-866-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKO",
"first_name": "PAUL",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "LISW-S, LICDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "81648",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0001490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
- Susan Deborah Banning, CNP
- Danny Barazi
- Barbara Ann Karmanos Cancer Hospital
- Barbara Ann Karmanos Cancer Hospital (Karmanos Cancer Center)
- Barbara Ann Karmanos Cancer Hospital
- Emily Katherine Barnett, AA ; RBT
- Eric J Barnett
- Christine Barnocki, COTA
- Barry F. Biniker DDS Inc
- Barry P. Deran, M.D., Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.