MEDICARE: MRS. JAYNAYA BARLOW LMSW

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	6801106795	MI

General Provider Information

NPI Number	:	1518585165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAYNAYA BARLOW LMSW

Provider Business Mailing Address
First Line	:	13163 RANCH RD APT 2108
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-9462
Country	:	US
Telephone Number	:	517-894-2394
Fax Number	:

Provider Business Practice Location Address
First Line	:	13163 RANCH RD APT 2108
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-9462
Country	:	US
Telephone Number	:	517-894-2394
Fax Number	:

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

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	11/20/2024

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