Provider Demographics
NPI:1669692695
Name:ARELLANO, BARBARA D (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:D
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:D
Other - Last Name:RIOZA-ARELLANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:13919 MARBELLA ST
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-3862
Mailing Address - Country:US
Mailing Address - Phone:909-899-8026
Mailing Address - Fax:
Practice Address - Street 1:120 E LA HABRA BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-5475
Practice Address - Country:US
Practice Address - Phone:562-697-9796
Practice Address - Fax:562-697-9787
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 99221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9922OtherLICENSE NUMBER