Individual provider Active NPI

Craig M Barwick, MSW, LCSW

  • Clinical Social Worker
  • Poplar Bluff, MO
National Provider Identifier
1720376239
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003858 Issued in MO
Practice address
1500 N. Westwood Blvd
John J Pershing VA Medical Center
Poplar Bluff, MO 63901
Phone
(573) 778-4458
Fax
(573) 778-4449
NPI assigned
Jul 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003858 MO Primary

Addresses

Primary practice location

1500 N. Westwood Blvd
John J Pershing VA Medical Center
Poplar Bluff, MO 63901

Mailing address

1500 N. Westwood Blvd
John J Pershing VA Medical Center
Poplar Bluff, MO 63901
Phone (573) 778-4458

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
003858MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1720376239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N. WESTWOOD BLVD",
            "address_2": "JOHN J PERSHING VA MEDICAL CENTER",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-778-4458",
            "fax_number": "573-778-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N. WESTWOOD BLVD",
            "address_2": "JOHN J PERSHING VA MEDICAL CENTER",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-778-4458",
            "fax_number": "573-778-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARWICK",
        "first_name": "CRAIG",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "003858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.