MEDICARE: JESSICA CARR LCSW LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1447101787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESSICA CARR LCSW LLC

Provider Business Mailing Address
First Line	:	210 JONES ST # 115
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-7615
Country	:	US
Telephone Number	:	214-308-1373
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 JONES ST # 115
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-7615
Country	:	US
Telephone Number	:	214-308-1373
Fax Number	:

Authorized Official
Title or Position	:	OWNER, THERAPIST
Name	:	JESSICA L CARR
Credential	:	LISW, LCSW
Telephone Number	:	940-977-9747

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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