MEDICARE: JENNA BARRETT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	82982	CA

General Provider Information

NPI Number	:	1194007856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA BARRETT LCSW

Provider Business Mailing Address
First Line	:	150 UCLA MEDICAL PLZ
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-8313
Country	:	US
Telephone Number	:	424-234-8264
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 UCLA MEDICAL PLAZA
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-2501
Country	:	US
Telephone Number	:	310-267-9195
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2011
Last Update Date	:	03/09/2023

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Directions to “ JENNA BARRETT LCSW” Practice Location

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