Kirk, Jessica

Kirk, Jessica is an individual health care provider with primary practice located at 689 Central Ave , Barboursville WV 25504-1315. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kirk, Jessica can be contacted via phone (303) 733-3331.

Contact Information

Primary practice address
689 Central Ave Barboursville WV 25504-1315
Phone: (303) 733-3331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X BP00945114 West Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X DP00945114 West Virginia

Profile Details

NPI number 1295246452
LBN Legal business name Kirk, Jessica
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2017
Last updated Mar 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295246452 NPPES
West Virginia Other DP00945114 (LICSW)LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
West Virginia Other BP00945114 (LICSW)LICENSED INDEPENDENT CLINICAL SOCIAL WORKER

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