Individual provider Active NPI

Emilie Rose Barth, LISW-S

  • Clinical Social Worker
  • Westlake, OH
National Provider Identifier
1730625138
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2103229 Issued in OH
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

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
S.1710011-TRNEOHMDMental Health Counselor
S.1903742OHMDSocial Worker
I.2103229OHMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.