Provider Demographics
NPI:1871188516
Name:BARRERA, SARA (MA, MSW, LSW)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:BARRERA
Suffix:
Gender:F
Credentials:MA, MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6960 N RIDGE BLVD APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-4446
Mailing Address - Country:US
Mailing Address - Phone:773-510-8076
Mailing Address - Fax:
Practice Address - Street 1:53 W JACKSON BLVD STE 632
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3667
Practice Address - Country:US
Practice Address - Phone:312-659-4718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150104920104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker