Provider Demographics
NPI:1639752686
Name:OSANNA-BARBA, ERIN M (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:OSANNA-BARBA
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 1:425 EL PINTADO RD STE 168
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-1848
Mailing Address - Country:US
Mailing Address - Phone:925-233-5880
Mailing Address - Fax:
Practice Address - Street 1:7333 LONGMONT LOOP
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94552-5268
Practice Address - Country:US
Practice Address - Phone:925-233-5880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1012511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical