Mary Jo Barrett LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

559-LCSW Issued in MT

Legal business name

MARY JO BARRETT LCSW LLC

Practice address

210 N Higgins Ave Ste 338
Missoula, MT 59802-4443

Phone

(406) 829-1300

NPI assigned

Jul 6, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Jo Barrett, LCSW

Title

Owner

Phone

(406) 829-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Jo Barrett, M.S.W.

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1134348642
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1417212341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HIGGINS AVE STE 338",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024443",
            "telephone_number": "406-829-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HIGGINS AVE STE 338",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024443",
            "telephone_number": "406-829-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JO BARRETT LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-829-1300",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "559-LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7755009",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy Kristen McIntyre Matheny, MD, MPH
• Michele Mathews
• Tana Lynn Mathis, PHARM-D
• Elli Marie Matkin, LCSW, ROLFER

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.