| James M. Barry, Msw, Lcsw, Inc. | |
|
2018 Fort Bragg Rd Suite 114a Fayetteville NC 28303-7037 | |
| (910) 485-0940 | |
| (910) 323-6030 |
| Full Name | James M. Barry, Msw, Lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2018 Fort Bragg Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | James M Barry (PRESIDENT) |
| Authorized Official Contact | 9104850940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James M. Barry, Msw, Lcsw, Inc. Po Box 9728 Fayetteville NC 28311-9091 Ph: (910) 485-0940 | James M. Barry, Msw, Lcsw, Inc. 2018 Fort Bragg Rd Suite 114a Fayetteville NC 28303-7037 Ph: (910) 485-0940 |
| NPI Number | 1649435306 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 10/03/2011 |
| Medicare PECOS PAC ID | 0547397861 |
|---|---|
| Medicare Enrollment ID | O20100419000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649435306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C000674 (North Carolina) | Primary |
| Provider Name | James M Barry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356319644 PECOS PAC ID: 7416084744 Enrollment ID: I20100419000663 |
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