Provider Demographics
NPI:1225672462
Name:BARRERA, MARIA (MSW)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BARRERA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:GENNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:16011 82ND ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2930
Mailing Address - Country:US
Mailing Address - Phone:347-992-0870
Mailing Address - Fax:
Practice Address - Street 1:16011 82ND ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2930
Practice Address - Country:US
Practice Address - Phone:347-992-0870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker