Healthcare Provider Details

I. General information

NPI: 1033886585
Provider Name (Legal Business Name): ALISA JEAN BARROETA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 S MAIDEN LN
JOPLIN MO
64801-3084
US

IV. Provider business mailing address

PO BOX 758
NEOSHO MO
64850-0758
US

V. Phone/Fax

Practice location:
  • Phone: 417-782-6200
  • Fax: 417-782-6210
Mailing address:
  • Phone: 417-782-6200
  • Fax: 417-782-6210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2021034139
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: