Barker, Johnathan West

Barker, Johnathan West is an individual health care provider with primary practice located at 31764 Casino Dr Ste 300, Lake Elsinore CA 92530-4571. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Barker, Johnathan West can be contacted via phone (951) 471-4645.

Contact Information

Primary practice address
31764 Casino Dr Ste 300 Lake Elsinore CA 92530-4571
Phone: (951) 471-4645
Fax: (951) 471-4687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW71218 California

Profile Details

NPI number 1750533915
LBN Legal business name Barker, Johnathan West
Credentials MSW, ASCW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Jun 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750533915 NPPES
California MEDICAID 7068

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