Provider Demographics
NPI:1952295412
Name:BARNETT, JERACA (MSW)
Entity type:Individual
Prefix:
First Name:JERACA
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-1439
Mailing Address - Country:US
Mailing Address - Phone:419-961-2198
Mailing Address - Fax:419-961-2198
Practice Address - Street 1:147 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-1439
Practice Address - Country:US
Practice Address - Phone:419-961-2198
Practice Address - Fax:419-961-2198
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker