Shea Nicole Barakatt, LCSW , LCDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

56133 Issued in TX

Practice address

12810 Hillcrest Rd Ste B223
Dallas, TX 75230-1525

Phone

(214) 817-4939

NPI assigned

Mar 13, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1881220556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HILLCREST RD STE B223",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301525",
            "telephone_number": "214-817-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HILLCREST RD STE B223",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301525",
            "telephone_number": "214-817-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAKATT",
        "first_name": "SHEA",
        "middle_name": "NICOLE",
        "credential": "LCSW , LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.originsrecovery.com",
            "affiliation": "N",
            "address_1": "12810 Hillcrest Rd # B223",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752301525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Usman Baqai, MD/PHD
• Jacqueline M Baquet
• Sari Hochberger Bar, D.O.
• Linda Barakat
• Ronnie Barakat
• Coleen Marie Baran, PT
• Juanita Garcia Baranowski, PA-C
• Jasmine Baranpourian, LPC
• Linda B Barany, F.N.P.
• Sitaram Barath, MD

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.