Active NPI
M Jeannette Barnes, LCSW
- Clinical Social Worker
- Ft Worth, TX
National Provider Identifier
1083953038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S11207
- Practice address
- 1518 E Lancaster Ave
Ft Worth, TX 76102-6718 - Phone
- (214) 621-3545
- Fax
- (817) 255-7166
- NPI assigned
- Feb 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 01207 | TX | |
| Clinical Social Worker | 1041C0700X | S11207 | TX | Primary |
Addresses
Primary practice location
1518 E Lancaster Ave
Ft Worth, TX 76102-6718
Mailing address
1518 E Lancaster Ave
Ft Worth, TX 76102-6718
Phone (214) 621-3545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01207 | TX | MD | Social Worker |
| S11207 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1083953038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 E LANCASTER AVE",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761026718",
"telephone_number": "214-621-3545",
"fax_number": "817-255-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 E LANCASTER AVE",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761026718",
"telephone_number": "214-621-3545",
"fax_number": "817-255-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "M",
"middle_name": "JEANNETTE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "01207",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "S11207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.