Provider Demographics
NPI:1467590380
Name:BARAJAS, ISABEL (ASW)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:BARAJAS
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:ISABEL
Other - Middle Name:
Other - Last Name:CASTANEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:787 CINDEE LN
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-5966
Mailing Address - Country:US
Mailing Address - Phone:707-472-2922
Mailing Address - Fax:707-462-1381
Practice Address - Street 1:350 E GOBBI ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-5511
Practice Address - Country:US
Practice Address - Phone:707-472-2922
Practice Address - Fax:707-462-1381
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 149761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical