Provider Demographics
NPI:1639739683
Name:CHAMRA-BARRERA, JOCELYN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:
Last Name:CHAMRA-BARRERA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JOCELYN
Other - Middle Name:
Other - Last Name:BARRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:9812 MILLA CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-3904
Mailing Address - Country:US
Mailing Address - Phone:512-924-0623
Mailing Address - Fax:
Practice Address - Street 1:2300 SCENIC DR UNIT 1511
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78627-6069
Practice Address - Country:US
Practice Address - Phone:512-522-8868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-20
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59817104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty