Organization Active NPI

Annick Barker, LCSW-C, LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1689112864
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12977 Issued in MD
Legal business name
ANNICK BARKER, LCSW-C, LLC
Practice address
720 W 36TH St
Baltimore, MD 21211-2505
Phone
(443) 961-7950
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marie-Annick Barker, LCSW-CNPI 1063458818
Title
Therapist/Owner
Phone
(443) 961-7950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 12977 MD Primary

Addresses

Primary practice location

720 W 36TH St
Baltimore, MD 21211-2505

Mailing address

342 Rossiter Ave
Baltimore, MD 21212-4419
Phone (443) 961-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170718001369 MD Part B Supplier - Clinic/Group Practice 6709156102 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

720 W 36th St
Baltimore, MD 21211
Phone (410) 225-0593

4904 York Rd
Unit 26858
Baltimore, MD 21212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1689112864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 ROSSITER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124419",
            "telephone_number": "443-961-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 36TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112505",
            "telephone_number": "443-961-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNICK BARKER, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "MARIE-ANNICK",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "443-961-7950",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.