Jennifer Jean Barry, LCSW, CCM
Social Worker, Clinical in Irving, TX. Individual provider (NPI-1).
NPI number1366048415
StatusActive
Last updated in NPPESDec 4, 2020
Details
- NPI
- 1366048415
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Jean Barry
- Credential
- LCSW, CCM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2020
- Certification date
- Dec 4, 2020
- Last updated
- Dec 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 67264 | TX | Yes |
| 171M00000X | Case Manager/Care Coordinator | 4214625 | – |
Practice location
777 Lake Carolyn Pkwy Apt 4103Irving, TX 75039-4514
Phone 443-226-7338
Mailing address
777 Lake Carolyn Pkwy Apt 4103Irving, TX 75039-4514
Phone 443-226-7338
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