Basic Information
Provider Information
NPI: 1619096732
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINARES
FirstName: BARBARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2526 S DUNSMUIR AVE
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900162620
CountryCode: US
TelephoneNumber: 3239337971
FaxNumber:  
Practice Location
Address1: 2160 W ADAMS BLVD
Address2:  
City: LOS ANGELES
State: CALIFORNIA
PostalCode: 90111
CountryCode: UM
TelephoneNumber: 3234325185
FaxNumber: 3234325086
Other Information
ProviderEnumerationDate: 03/28/2007
LastUpdateDate: 10/31/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X27868CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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