Jessica Barrett

Individual provider Active NPI Social Worker · Centreville, VA

NPI 1326437658 · NPPES record last updated Oct 1, 2024

Key facts

NPI
1326437658
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
0903004332 (VA)
Practice address
6750 Rockledge PL
Centreville, VA 20121-2550
Phone
(717) 341-1417
NPI assigned
Jan 9, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW131185PAMDSocial Worker
0903004332VAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW131185 PA
Social Worker 104100000X 0903004332 VA Yes

Addresses

Primary practice location

6750 Rockledge PL
Centreville, VA 20121-2550

Mailing address

6750 Rockledge PL
Centreville, VA 20121-2550
Phone (717) 341-1417

Other providers in Centreville, VA

All providers in Centreville, VA · Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.