Individual provider Active NPI

Jessa Barefoot, MSW, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1528475142
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
POO8795 Issued in NC
Practice address
7741 Market St Ste H
Wilmington, NC 28411-9444
Phone
(910) 343-8424
NPI assigned
Jul 15, 2014
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 POO8795 NC Primary

Addresses

Primary practice location

7741 Market St Ste H
Wilmington, NC 28411-9444

Mailing address

7741 Market St Ste H
Wilmington, NC 28411-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161003000244 NC Practitioner - Clinical Social Worker 0941597173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4039 Masonboro Loop Rd
Suite 1O
Wilmington, NC 28409-3622
Phone (910) 622-6418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POO8795NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services, Inc CurrentSince Jul 25, 2016 Accepting new patients
Rha Health Services, Inc CurrentSince Jul 25, 2016 Accepting new patients
Saltmarsh Counseling, PLLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

1819 Peachtree Rd NE
Ste 450
Atlanta, GA 30309
Phone (910) 332-5734

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

1920 S 16th St
Wilmington, NC 28401
Phone (910) 632-2191

4039 Masonboro Loop Rd
Ste 1O
Wilmington, NC 28409
Phone (910) 622-6418

5010 Randall Pkwy
Wilmington, NC 28403
Phone (910) 791-5719

Organizations & group practices 4

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1528475142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7741 MARKET ST STE H",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7741 MARKET ST STE H",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119444",
            "telephone_number": "910-343-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAREFOOT",
        "first_name": "JESSA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "POO8795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.