Provider Demographics
NPI:1255850426
Name:BARRIOS, ANGELICA MARIA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ANGELICA
Middle Name:MARIA
Last Name:BARRIOS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 BUSHWICK AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-1422
Mailing Address - Country:US
Mailing Address - Phone:917-239-6535
Mailing Address - Fax:
Practice Address - Street 1:1420 BUSHWICK AVE FL 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-1422
Practice Address - Country:US
Practice Address - Phone:347-770-9911
Practice Address - Fax:347-915-0686
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-19
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095211-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker