MEDICARE: JAMIE JARRETT

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	2023027153	MO

General Provider Information

NPI Number	:	1063252732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE JARRETT

Provider Business Mailing Address
First Line	:	2720 S SANTA FE RD
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64052-3229
Country	:	US
Telephone Number	:	816-805-2436
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 W MAIN ST STE 101
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-3648
Country	:	US
Telephone Number	:	913-730-5808
Fax Number	:

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

Provider Enumeration Date	:	05/29/2024
Last Update Date	:	12/18/2025

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