Jessica Stevenson Barron
Individual provider Active NPI Clinical Social Worker · Jackson, TN
NPI 1659971968 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1659971968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7263 (TN)
- Practice address
- 33 Directors Row
Jackson, TN 38305-2316 - Phone
- (731) 313-7688
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210414002305 | TN | Practitioner - Clinical Social Worker | 2567870413 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchors in Bloom Counseling LLC | Current |
Accepting new patients |
Interoperability endpoints
- jessica.barron@wth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7263 | TN | Yes |
Addresses
Primary practice location
33 Directors Row
Jackson, TN 38305-2316
Mailing address
116 Jabez Dr
Medina, TN 38355-8807
Phone (731) 693-6857
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7263 | Other | TN | LICENSED CLINICAL SOCIAL WORKER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jessica.Barron@wth.org | Other |
Other providers in Jackson, TN
- Hugh Glenn Barnett II
- Lindsay Brooke Barnett
- Betty A Barnette
- Gregory Stewart Barrett
- Noemi Ballesteros Barroga
- Clara Turner Barrow
- Juanjeca Quiyatta Barrow
- Margaret Wilkinson Barth
- Judith Baskin
- Mark Roy Bateman
All providers in Jackson, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.