Carina Lisa Barker
Individual provider Active NPI Clinical Social Worker · Superior, WI
NPI 1417907387 · NPPES record last updated Feb 17, 2022
Key facts
- NPI
- 1417907387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9527-123 (WI)
- Practice address
- 2207 East 5TH Street
Superior, WI 54880 - Phone
- (218) 212-3435
- Fax
- (218) 234-2993
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2207 E 5TH St
Superior, WI 54880-3708
Phone (218) 212-3435
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201000308 | WI | Practitioner - Clinical Social Worker | 5092766105 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17785 | AZ | MD | Clinical Social Worker |
| 9527-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carina Barker Clinical Practice LLC | Clinical | Current |
Accepting new patients |
Locations
2207 E 5th St
Superior, WI 54880
Phone (218) 212-3435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15362 | MN | |
| Clinical Social Worker | 1041C0700X | 17785 | AZ | |
| Clinical Social Worker | 1041C0700X | 9527-123 | WI | Yes |
Addresses
Primary practice location
2207 East 5TH Street
Superior, WI 54880
Mailing address
2207 East 5TH Street
Superior, WI 54880
Phone (218) 212-3435
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417907387 | Medicaid | MN |
Other providers in Superior, WI
- Cathy Marie Baker
- Nicole Kristine-Baur Bakken
- Charleen Ruth Balcer Rowekamp
- Mary Balcer
- John Andrew Ball
- Darrell Eugene Barnack
- Billie Alan Barsness
- Crystal Bartell
- Eugena Denise Basley
- Grace Janice Beckman
All providers in Superior, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.