Healthcare Provider Details

I. General information

NPI: 1285256099
Provider Name (Legal Business Name): JEHNA L BARNES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4142 ADAMS AVE STE 103 #620
SAN DIEGO CA
92116
US

IV. Provider business mailing address

4142 ADAMS AVE STE 103 #620
SAN DIEGO CA
92116
US

V. Phone/Fax

Practice location:
  • Phone: 619-800-0714
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW85638
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW103886
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: