Provider Demographics
NPI:1659816650
Name:BARRIENTOS, VERNA (LCSW)
Entity type:Individual
Prefix:
First Name:VERNA
Middle Name:
Last Name:BARRIENTOS
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 1:1021 S EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2801
Mailing Address - Country:US
Mailing Address - Phone:650-644-1632
Mailing Address - Fax:650-412-1986
Practice Address - Street 1:1021 S EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2801
Practice Address - Country:US
Practice Address - Phone:650-644-1632
Practice Address - Fax:650-412-1986
Is Sole Proprietor?:No
Enumeration Date:2016-12-29
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW866001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical