Individual provider Active NPI

Jaynaya Barlow, LMSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1518585165
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106795 Issued in MI
Practice address
13163 Ranch Rd Apt 2108
Jacksonville, FL 32218-9462
Phone
(517) 894-2394
NPI assigned
Jul 9, 2020
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801106795 MI Primary

Addresses

Primary practice location

13163 Ranch Rd Apt 2108
Jacksonville, FL 32218-9462

Mailing address

13163 Ranch Rd Apt 2108
Jacksonville, FL 32218-9462
Phone (517) 894-2394

Other practice location 1

4211 Okemos Rd Ste 18
Okemos, MI 48864-3287
Phone (517) 894-2394

Other practice location 2

247 Sweet Martha Dr
Mooresville, NC 28115-7906
Phone (517) 894-2394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230315001877 MI Practitioner - Clinical Social Worker 4587038450 Practice locations: Okemos, MI
I20250721001654 FL Practitioner - Clinical Social Worker 4587038450 Practice locations: Jacksonville, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4211 Okemos Rd
Suite 18
Okemos, MI 48864-3287
Phone (517) 894-2394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jaynaya Barlow Clinical CurrentSince Aug 1, 2020 Accepting new patients

Locations

4211 Okemos Rd
Ste 18
Okemos, MI 48864
Phone (313) 444-3480

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1518585165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13163 RANCH RD APT 2108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189462",
            "telephone_number": "517-894-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13163 RANCH RD APT 2108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189462",
            "telephone_number": "517-894-2394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 Okemos Rd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643287",
            "country_code": "US",
            "telephone_number": "517-894-2394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 Sweet Martha Dr",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281157906",
            "country_code": "US",
            "telephone_number": "517-894-2394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "JAYNAYA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.