Active NPI
Emilie Rose Barth, LISW-S
- Clinical Social Worker
- Westlake, OH
National Provider Identifier
1730625138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2103229
- Practice address
- 24600 Detroit Rd Ste 265
Westlake, OH 44145-2542 - Phone
- (440) 547-6762
- Fax
- (440) 653-9576
- NPI assigned
- Jan 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S.1710011-TRNE | OH | |
| Social Worker | 104100000X | S.1903742 | OH | |
| Clinical Social Worker | 1041C0700X | I.2103229 | OH | Primary |
Addresses
Primary practice location
24600 Detroit Rd Ste 265
Westlake, OH 44145-2542
Mailing address
134 Stonefield Dr
Berea, OH 44017-3128
Phone (440) 547-6762
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1710011-TRNE | OH | MD | Mental Health Counselor |
| S.1903742 | OH | MD | Social Worker |
| I.2103229 | OH | MD | Clinical Social Worker |
Interoperability endpoints
- emilie.barth.1@29511.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1730625138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 STONEFIELD DR",
"city": "BEREA",
"state": "OH",
"postal_code": "440173128",
"telephone_number": "440-547-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24600 DETROIT RD STE 265",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452542",
"telephone_number": "440-547-6762",
"fax_number": "440-653-9576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTH",
"first_name": "EMILIE",
"middle_name": "ROSE",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S.1710011-TRNE",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1903742",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2103229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.