Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phillip Jackson Barrett

Individual provider Clinical Social Worker · NPI 1407304140

Phillip Jackson Barrett is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Eastern Montana Community Mental Health Center, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2016
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Practice location Address checks out

4510 Frankford Ave
Philadelphia, PA 19124-3602
Phone: (215) 744-1302
Fax: (215) 744-2544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW019212 (PA)

Record details

NPI number1407304140
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2016
Last updated in NPPESMarch 6, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Eastern Montana Community Mental Health Center — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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