Provider Demographics
NPI:1477562973
Name:BARRIOS, SERGIO J (LCSW)
Entity Type:Individual
Prefix:MR
First Name:SERGIO
Middle Name:J
Last Name:BARRIOS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 90241
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78709-0241
Mailing Address - Country:US
Mailing Address - Phone:512-785-1195
Mailing Address - Fax:512-301-1175
Practice Address - Street 1:4201 BEE CAVE RD
Practice Address - Street 2:BLG. C SUITE 213
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6465
Practice Address - Country:US
Practice Address - Phone:512-785-1195
Practice Address - Fax:512-301-1175
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX299331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical