Active NPI
Jennifer D Barnes
- Clinical Social Worker
- Vinita, OK
National Provider Identifier
1801319652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5454
- Practice address
- 735 N Foreman St
Vinita, OK 74301-1422 - Phone
- (918) 256-9201
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5454 | OK | Primary |
Addresses
Primary practice location
735 N Foreman St
Vinita, OK 74301-1422
Mailing address
PO Box 707001
Tulsa, OK 74170-7001
Phone (918) 502-8013
Other practice location 1
606 E 17th St
Baxter Springs, KS 66713-1730
Phone (918) 533-1450
Other names 1
- Jennifer D Barnes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7600 S Hwy 69a
Miami, OK 74354-1016
Phone (918) 542-1655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5454 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Tribal Health System | Current | Accepting new patients |
Locations
7600 S Highway 69A
Miami, OK 74354
Phone (918) 542-1655
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801319652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 707001",
"city": "TULSA",
"state": "OK",
"postal_code": "741707001",
"telephone_number": "918-502-8013",
"fax_number": "918-502-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 N FOREMAN ST",
"city": "VINITA",
"state": "OK",
"postal_code": "743011422",
"telephone_number": "918-256-9201"
}
],
"practiceLocations": [
{
"address_1": "606 E 17th St",
"address_purpose": "LOCATION",
"city": "Baxter Springs",
"state": "KS",
"postal_code": "667131730",
"country_code": "US",
"telephone_number": "918-533-1450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARNES",
"first_name": "JENNIFER",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "5454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BARNES",
"middle_name": "D",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.