Basic Information
Provider Information
NPI: 1184189532
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARRIAGA
FirstName: BARBARA
MiddleName:  
NamePrefix: MISS
NameSuffix:  
Credential: ACSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1808 3RD AVE APT 10
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921012628
CountryCode: US
TelephoneNumber: 8155435694
FaxNumber:  
Practice Location
Address1: 591 CAMINO DE LA REINA STE 810
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921083150
CountryCode: US
TelephoneNumber: 8585198002
FaxNumber: 6196843788
Other Information
ProviderEnumerationDate: 02/08/2019
LastUpdateDate: 02/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X76987CAY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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