Provider Demographics
NPI:1780835181
Name:BARBIERI, JENNIFER LOIS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LOIS
Last Name:BARBIERI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 139
Mailing Address - Street 2:
Mailing Address - City:PETAL
Mailing Address - State:MS
Mailing Address - Zip Code:39465-0139
Mailing Address - Country:US
Mailing Address - Phone:601-543-0567
Mailing Address - Fax:
Practice Address - Street 1:105 PARK DR
Practice Address - Street 2:
Practice Address - City:PETAL
Practice Address - State:MS
Practice Address - Zip Code:39465-3043
Practice Address - Country:US
Practice Address - Phone:601-543-0567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC50331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical