Elisabeth A Barahona, LSW
Individual provider Active NPI Clinical Social Worker · Goshen, IN
NPI 1699119586 · NPPES record last updated Dec 31, 2020
Key facts
- NPI
- 1699119586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34007616A (IN)
- Practice address
- 213 Middlebury St
Goshen, IN 46528 - Phone
- (574) 534-3300
- Fax
- (574) 534-5412
- NPI assigned
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
117 S 5TH St
Goshen, IN 46528-3711
119 E Washington St
Goshen, IN 46528-3726
Phone (574) 574-5602
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20161109002457 | IN | Practitioner - Clinical Social Worker | 8628357977 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowen Health Inc | Current |
Accepting new patients | |
| Promise Sober Living LLC | Current | Accepting new patients | |
| Bowen Health Inc | Current | Accepting new patients | |
| Eb Integrated Health LLC | Clinical | Current |
Accepting new patients |
Locations
117 S 5th St
Goshen, IN 46528
Phone (574) 231-7010
901 Anchorage Rd
Warsaw, IN 46580
2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573
850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169
Interoperability endpoints
- ebarahona299503@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34007616A | IN | Yes |
Addresses
Primary practice location
213 Middlebury St
Goshen, IN 46528
Mailing address
213 Middlebury St
Goshen, IN 46528-2956
Phone (574) 534-3300
Other practice location 1
808 N 3rd St
Goshen, IN 46528-7100
Phone (574) 534-0088
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebarahona299503@direct.ochin.org | Direct |
Other providers in Goshen, IN
- Kathryn Bachman
- Brittany Bahr
- Brenda Balcazar Gorostiet
- Gabrielle Balser
- Maya Bar-Zvi
- David L Barhydt
- Robert Edward Barker
- Bashor Home of the United Methodist Church, Inc
- Catherine Kreider Bast
- Keshia Bates
All providers in Goshen, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2020. 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.