Individual provider Active NPI

Erin Barboe, LCSW

  • Clinical Social Worker
  • Middletown, NY
National Provider Identifier
1386965531
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080383 Issued in NY
Practice address
40 Grove St
Suite 104
Middletown, NY 10940-4873
Phone
(845) 341-0650
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2014

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 080383 NY Primary

Addresses

Primary practice location

40 Grove St
Suite 104
Middletown, NY 10940-4873

Mailing address

40 Grove St
Suite 104
Middletown, NY 10940-4873
Phone (845) 341-0650

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180524000840 NY Practitioner - Clinical Social Worker 9931464849 Practice locations: Middletown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40 Grove St
Suite 104
Middletown, NY 10940-4873
Phone (845) 341-0650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080383NYMDSocial Worker

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1386965531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GROVE ST",
            "address_2": "SUITE 104",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404873",
            "telephone_number": "845-341-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GROVE ST",
            "address_2": "SUITE 104",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404873",
            "telephone_number": "845-341-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOE",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.