Mika Barker-Hart, LICSW
Individual provider Active NPI Clinical Social Worker · Middlebury, VT
NPI 1841379237 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1841379237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0890000788 (VT)
- Practice address
- 10 Merchants Row
Middlebury, VT 05753-1421 - Phone
- (802) 388-1373
- NPI assigned
- Nov 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0890000788 | VT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0890000788 | VT | Yes |
Addresses
Primary practice location
10 Merchants Row
Middlebury, VT 05753-1421
Mailing address
184 Painter Hills Rd
Middlebury, VT 05753-8888
Phone (802) 388-1373
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007739 | Medicaid | VT |
Other providers in Middlebury, VT
- Carrie Baker
- Carolyn Balparda
- Areum Ban
- Dragos Banu
- Natasha Baranow
- Laura Anne Basili
- Isaac Liam Bass
- Janet Lawson Bates
- Marion D Bauer
- Benjamin I Bearnot
All providers in Middlebury, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.