Provider Demographics
NPI:1841410800
Name:BARRETO, LOURDES ARLEN (MSW)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:ARLEN
Last Name:BARRETO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13548 SW 59 LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-7182
Mailing Address - Country:US
Mailing Address - Phone:786-270-6288
Mailing Address - Fax:
Practice Address - Street 1:15924 SW 92 AV
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157
Practice Address - Country:US
Practice Address - Phone:305-964-5824
Practice Address - Fax:305-644-2676
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW217741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical