Ivan Barraza, LICSW

Clinical Social Worker · Richland, WA

Individual Active NPI

NPI number 1790116614

Practice location

921 Allenwhite Dr
Richland, WA 99352-8620
Phone
(509) 845-1263

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NPI record

NPI
1790116614
Entity type
Individual (Type 1)
Enumeration date
December 3, 2013
Last updated
December 3, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X LW60365018 WA

Mailing address

PO Box 614
Richland, WA 99352-0614

About Ivan Barraza

Ivan Barraza, LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 921 Allenwhite Dr, Richland, WA 99352-8620. The NPI number 1790116614 was assigned on December 3, 2013 and the record was last updated on December 3, 2013.

Ivan Barraza lists a license in the registry: #LW60365018 (WA) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ivan Barraza, LICSW?

The NPI number is 1790116614.

What is the phone number of Ivan Barraza?

The phone number listed for the practice location is (509) 845-1263.

Where is Ivan Barraza located?

921 Allenwhite Dr, Richland, WA 99352-8620.

What is the taxonomy code for Ivan Barraza?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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