Jathan Barrett Jr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004608 Issued in NC

Practice address

2967 Casona Way
Raleigh, NC 27616-5588

Phone

(919) 389-9564

NPI assigned

May 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jathan Barrett Jr. Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1972249688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 CASONA WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165588",
            "telephone_number": "919-389-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2967 CASONA WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165588",
            "telephone_number": "919-389-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "JATHAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JATHAN",
            "last_name": "BARRETT",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Schuyler M Barraclough, APNP
• Katherine Barragan
• Mirnaly Barreto-Martinez
• Atoya Y Barrett
• Briana Barrett, LCMHCA
• Julia Barrett
• Katherine Ellis Barrett, MD
• Madison Finley Barrett, LCMHC
• Megan Hope Barrett, PT
• Michaela Mae Barrett

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.