Barbara Jean Theodoro, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

AP00941142 Issued in WV

Practice address

307 N Main St
New Martinsville, WV 26155-1215

Phone

(304) 455-3622

Fax

(304) 234-3511

NPI assigned

Dec 8, 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

Other names 1

• Barbara Jean Mingee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1447319850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 5TH ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552117",
            "telephone_number": "304-771-2089",
            "fax_number": "304-234-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MAIN ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551215",
            "telephone_number": "304-455-3622",
            "fax_number": "304-234-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORO",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00941142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001719068",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "MINGEE",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunbridge Mountain Care Management LLC (New Martinsville Center)
• Sidney Williams Sustarich
• Brian Lee Suter
• Paula Swartzmiller, MA LPC
• Brian Taylor
• Amanda Jo Thomas
• Asia Nicole Thomas
• Penny Joyce Thomas
• Jamie Thoms
• Jennifer Louise Throckmorton

• Social Worker in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.