JESSICA RENA BARNES (LICSW, LISW) – Clinical Social Worker, NPI 1780959494

JESSICA RENA BARNES (LICSW, LISW) is a healthcare provider. based in South sioux city, Nebraska. specializing in Clinical Social Worker. They hold the professional credentials LICSW, LISW. They hold a License No. 1453 (NE). The NPI Number for JESSICA RENA BARNES (LICSW, LISW) is 1780959494

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA RENA BARNES (LICSW, LISW)
NPI
1780959494
Phone
(402) 494-3337
Address
917 W 21ST ST
Enumeration Date
13 March 2012
Last Update Date
12 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024943337
Graduation Year
2007 (19 years ago)
PAC ID
2567614159
Group Practice PAC ID
0749262509
Professional Enrollment ID
I20121205000356
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:14State licenses:3Digital endpointsOther names

Provider Addresses for JESSICA RENA BARNES (LICSW, LISW)

  • 917 W 21ST ST

    SOUTH SIOUX CITY, NE 687762652

    Phone: (402) 494-3337

    Type: Location

  • PO BOX 355

    SOUTH SIOUX CITY, NE 687760355

    Phone: (712) 490-4398

    Fax: (402) 494-3356

    Type: Mailing

  • 1201 ARBOR DRIVE

    SOUTH SIOUX CITY, NE 687766877

    Phone: (712) 490-4398

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121205000356IClinical Social WorkerNETBD
I20250218000193IMental Health CounselorNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68776)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749262509View full group profile
NameSpecialtyState
Nurse Practitioner, Certified Clinical Nurse Specialist (Cns)IA
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorIA
Mental Health CounselorNE
Mental Health CounselorNE
-NE

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify JESSICA RENA BARNES (LICSW, LISW) for billing?
Administrative and clinical systems typically use NPI 1780959494 for JESSICA RENA BARNES (LICSW, LISW).
Should I treat JESSICA RENA BARNES (LICSW, LISW) as an active provider?
Patients and plans typically see JESSICA RENA BARNES (LICSW, LISW) as active in the national extract.
What services align with JESSICA RENA BARNES (LICSW, LISW)'s listing?
JESSICA RENA BARNES (LICSW, LISW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to JESSICA RENA BARNES (LICSW, LISW)?
The directory associates JESSICA RENA BARNES (LICSW, LISW) with South Sioux City, Nebraska. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

625, East 39th Street, South Sioux City, Dakota County, Nebraska, 68776, United States
NPI: 1639161904

Unknown Individual

Clinical Social Worker
Tri-State Physicians & Physical Therapy Clinic, 3900, Dakota Avenue, South Sioux City, Dakota County, Nebraska, 68776, United States
NPI: 1851409221
200 GOLD CIR STE 120
NPI: 1568553956
917, West 21st Street, South Sioux City, Dakota County, Nebraska, 68776, United States
NPI: 1457505901

MS. PAMELA SUE MELLOTT (LISW)

Clinical Social Worker
917, West 21st Street, South Sioux City, Dakota County, Nebraska, 68776, United States
NPI: 1457597684

NANCY ANN THIEMAN (LISW)

Clinical Social Worker
625 COURT STREET
NPI: 1699095919

MS. ROBBI LYNN LEMASTER (MSW)

Clinical Social Worker
3512 EL DORADO WAY
NPI: 1790062065

MS. ANGELA YOUNG (PLMHP)

Clinical Social Worker
100 FUTURES DR
NPI: 1548532302

BRENDA S ORLANDO (LICSW, LISW)

Mental Health Counselor
PO BOX 355
NPI: 1780942920