Organization Active NPI

James M. Barry, MSW, LCSW, Inc.

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1649435306
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000674 Issued in NC
Legal business name
JAMES M. BARRY, MSW, LCSW, INC.
Practice address
2018 Fort Bragg Rd
Suite 114a
Fayetteville, NC 28303-7037
Phone
(910) 485-0940
Fax
(910) 323-6030
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
James M Barry, MSW, LCSWNPI 1356319644
Title
President
Phone
(910) 485-0940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C000674 NC Primary

Addresses

Primary practice location

2018 Fort Bragg Rd
Suite 114a
Fayetteville, NC 28303-7037

Mailing address

PO Box 9728
Fayetteville, NC 28311-9091
Phone (910) 485-0940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100419000459 NC Part B Supplier - Clinic/Group Practice 0547397861 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

2018 Fort Bragg Rd
Ste 114A
Fayetteville, NC 28303
Phone (910) 485-0940

2018 Fort Bragg Rd
Ste 100
Fayetteville, NC 28303
Phone (910) 485-0940

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1649435306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9728",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119091",
            "telephone_number": "910-485-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 FORT BRAGG RD",
            "address_2": "SUITE 114A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283037037",
            "telephone_number": "910-485-0940",
            "fax_number": "910-323-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. BARRY, MSW, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-485-0940",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.