Individual provider Active NPI

Barbara Ann Wirebaugh, LISW

  • Clinical Social Worker
  • Bucyrus, OH
National Provider Identifier
1861501843
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I10227 Issued in OH
Practice address
1092 Martha Ave
Bucyrus, OH 44820-3045
Phone
(419) 569-6229
NPI assigned
Aug 30, 2006
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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 I10227 OH Primary

Addresses

Primary practice location

1092 Martha Ave
Bucyrus, OH 44820-3045

Mailing address

PO Box 722
Bucyrus, OH 44820-0722
Phone (419) 569-6229

Other names 1

  • Barbara Ann Blamer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090415000253 OH Practitioner - Clinical Social Worker 9537216296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Healthworks, LLCGroup PAC ID 5890842553, 3 clinicians

Practice addresses (Care Compare)

114 S Walnut St
Bucyrus, OH 44820-2324
Phone (419) 562-2400

270 Portland Way S
Galion, OH 44833-2362
Phone (419) 562-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I10227OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Healthworks, LLC CurrentSince May 25, 2021 Accepting new patients
Mid Ohio Chiropractic Inc Past Accepting new patients

Locations

114 S Walnut St
Bucyrus, OH 44820
Phone (419) 562-2400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1861501843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448200722",
            "telephone_number": "419-569-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 MARTHA AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448203045",
            "telephone_number": "419-569-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIREBAUGH",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I10227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BLAMER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.