Active NPI
Timothy Patrick Barry, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1548443229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25449
- Practice address
- 1001 Potrero Avenue, Ward 93, Building 90, 3Rd Floor
San Francisco General Hospital Otop
San Francisco, CA 94110 - Phone
- (415) 206-3433
- NPI assigned
- Dec 17, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 115532 | MA | |
| Clinical Social Worker | 1041C0700X | 25449 | CA | Primary |
Addresses
Primary practice location
1001 Potrero Avenue, Ward 93, Building 90, 3Rd Floor
San Francisco General Hospital Otop
San Francisco, CA 94110
Mailing address
San Francisco General Hospital Otop
1001 Potrero Avenue, Ward 93 Box 0852
San Francisco, CALIFORNIA 94110
UM
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25449 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1548443229",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "SAN FRANCISCO GENERAL HOSPITAL OTOP",
"address_2": "1001 POTRERO AVENUE, WARD 93 BOX 0852",
"city": "SAN FRANCISCO",
"state": "CALIFORNIA",
"postal_code": "94110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 POTRERO AVENUE, WARD 93, BUILDING 90, 3RD FLOOR",
"address_2": "SAN FRANCISCO GENERAL HOSPITAL OTOP",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-206-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "TIMOTHY",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-17",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "115532",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "25449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.