Jeffrey Todd Barg, MSS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017507 Issued in PA

Practice address

14 Thomas Ave
Bryn Mawr, PA 19010-2607

Phone

(484) 380-5247

NPI assigned

Aug 25, 2019

Last updated

Aug 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566691200000",
    "number": "1508413410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 OAKWOOD DR APT E308",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 THOMAS AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102607",
            "telephone_number": "484-380-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARG",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-25",
        "last_updated": "2019-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin.google.com/jtbarg.com",
            "affiliation": "N",
            "endpointDescription": "G suite",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gmail, Google Docs and Calendar",
            "address_1": "14 Thomas Ave",
            "city": "Bryn Mawr",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190102607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bancroft Neurohealth
• Bancroft Neurohealth
• Colleen Baratka, MA
• Brian Douglas Barber, PSYD
• Sara Barber, LCSW
• Amy M. Barksdale, CRNP
• Rachel Lauren Barnet, PA-C
• Joshua M. Baron, D.O.
• Laurie Bass, MSS LSW
• Saunders Batunkyi, PHYSICIAN ASSISTANT

• Clinical Social Worker in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2019; 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.