Provider Demographics
NPI:1740569672
Name:YBARRA, ADRIANA C (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:C
Last Name:YBARRA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61500 BANDARA ST
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-2002
Mailing Address - Country:US
Mailing Address - Phone:760-329-6736
Mailing Address - Fax:
Practice Address - Street 1:61500 BANDARA ST
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-2002
Practice Address - Country:US
Practice Address - Phone:760-329-6736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 260011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical