Healthcare Provider Details

I. General information

NPI: 1053869172
Provider Name (Legal Business Name): ASHLY MARIE BARTH FARKAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLY MARIE BARTH

II. Dates (important events)

Enumeration Date: 09/18/2016
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 RALSTON ST STE 100
VENTURA CA
93003-7847
US

IV. Provider business mailing address

1300 SARATOGA AVE UNIT 1615
VENTURA CA
93003-6424
US

V. Phone/Fax

Practice location:
  • Phone: 805-289-3100
  • Fax:
Mailing address:
  • Phone: 805-665-3274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberAII055090418
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number123003
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: