Mark Eugene Barnstable, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L5538 Issued in OR

Practice address

2371 NE Stephens St
Suite 200
Roseburg, OR 97470-1372

Phone

(541) 672-8533

Fax

(541) 672-4993

NPI assigned

Jul 31, 2007

Last updated

Dec 27, 2013By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cow Creek Band of Umpqua Tribe of Indians

  dba Cow Creek Health & Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Canyonville, OR
  • NPI 1134567993
  NPD

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1639369028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 NE STEPHENS ST",
            "address_2": "SUITE 200",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701372",
            "telephone_number": "541-672-8533",
            "fax_number": "541-672-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 NE STEPHENS ST",
            "address_2": "SUITE 200",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701372",
            "telephone_number": "541-672-8533",
            "fax_number": "541-672-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNSTABLE",
        "first_name": "MARK",
        "middle_name": "EUGENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165772",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Barber
• Natalie Barker
• Rae Ann Barnes, PHARMD
• Heather Barnett
• Cherie Lynn Barnstable, LCSW
• Joseph Isaac Barragan
• Lynette Marie Barrett, RN
• Katie Barrow, PA-C
• Amber Barrows, MSW, CSWA
• Rita Jane Barry, MD

• Clinical Social Worker in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.