Provider Demographics
NPI:1649083577
Name:BARR, JESSICA SIMUS (MSW, LCSW, MHA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:SIMUS
Last Name:BARR
Suffix:
Gender:F
Credentials:MSW, LCSW, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3708 WILLIAMSBOROUGH CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6358
Mailing Address - Country:US
Mailing Address - Phone:512-431-2704
Mailing Address - Fax:
Practice Address - Street 1:3708 WILLIAMSBOROUGH CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6358
Practice Address - Country:US
Practice Address - Phone:512-431-2704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0086591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical