Healthcare Provider Details

I. General information

NPI: 1013809631
Provider Name (Legal Business Name): CRISTINA BARA LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 E WATERLOO RD
AKRON OH
44306-3805
US

IV. Provider business mailing address

1221 E WATERLOO RD
AKRON OH
44306-3805
US

V. Phone/Fax

Practice location:
  • Phone: 234-208-4300
  • Fax: 330-724-7662
Mailing address:
  • Phone: 234-208-4300
  • Fax: 330-724-7662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2613728
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: