Provider Demographics
NPI:1386324440
Name:BARRERAS, MARCELLA KRISTIN (LCSW)
Entity type:Individual
Prefix:
First Name:MARCELLA
Middle Name:KRISTIN
Last Name:BARRERAS
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 1:7375 SNEFFELS ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80911-9332
Mailing Address - Country:US
Mailing Address - Phone:214-717-1270
Mailing Address - Fax:
Practice Address - Street 1:7375 SNEFFELS ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80911-9332
Practice Address - Country:US
Practice Address - Phone:214-717-1270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099294811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical