Provider Demographics
NPI:1306505383
Name:BARRETT, JASSIEL EULALIA (LCSW)
Entity type:Individual
Prefix:
First Name:JASSIEL
Middle Name:EULALIA
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JASSIEL
Other - Middle Name:EULALIA
Other - Last Name:PARRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASW
Mailing Address - Street 1:PSC 560 BOX 369
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96376-0004
Mailing Address - Country:US
Mailing Address - Phone:253-365-1544
Mailing Address - Fax:
Practice Address - Street 1:UNIT 35123
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96376-5123
Practice Address - Country:US
Practice Address - Phone:253-365-1544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-16
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1027841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical