Provider Demographics
NPI:1184189532
Name:ARRIAGA, BARBARA (ACSW)
Entity Type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:
Last Name:ARRIAGA
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 3RD AVE APT 10
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-2628
Mailing Address - Country:US
Mailing Address - Phone:815-543-5694
Mailing Address - Fax:
Practice Address - Street 1:591 CAMINO DE LA REINA STE 810
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3150
Practice Address - Country:US
Practice Address - Phone:858-519-8002
Practice Address - Fax:619-684-3788
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76987104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker