Individual provider · Type 1 NPI

Ivan Barraza, LICSW

Clinical Social Worker · Richland, WA

NPI number 1790116614 Active

Practice location

921 Allenwhite Dr
Richland, WA 99352-8620

Mailing address

PO Box 614
Richland, WA 99352-0614

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60365018 (WA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1790116614

Ivan Barraza, LICSW's National Provider Identifier is 1790116614, issued on Dec 3, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richland, WA. The record was last updated on Dec 3, 2013.