Provider Demographics
NPI:1639160625
Name:BARRIOS, ANNA L (LISW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:L
Last Name:BARRIOS
Suffix:
Gender:F
Credentials:LISW
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 12907
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87195-0907
Mailing Address - Country:US
Mailing Address - Phone:505-247-4622
Mailing Address - Fax:505-247-1373
Practice Address - Street 1:1020 EDITH BLVD SE
Practice Address - Street 2:STE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-4409
Practice Address - Country:US
Practice Address - Phone:505-247-4622
Practice Address - Fax:505-247-1373
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI05971104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker