Provider Demographics
NPI:1932620424
Name:BARRAGAN, KAREN (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BARRAGAN
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:PO BOX 7042
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-0942
Mailing Address - Country:US
Mailing Address - Phone:310-918-1617
Mailing Address - Fax:
Practice Address - Street 1:20821 AMIE AVE
Practice Address - Street 2:APT 115
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4788
Practice Address - Country:US
Practice Address - Phone:310-918-1617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-05
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW685191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical