Provider Demographics
NPI:1427107085
Name:BARRS, ALICIA MARIA (LICSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:MARIA
Last Name:BARRS
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:MARIA
Other - Last Name:NEWSOME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:12382 TAURUS DR
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77318-5193
Mailing Address - Country:US
Mailing Address - Phone:715-574-2438
Mailing Address - Fax:
Practice Address - Street 1:6200 WILSHIRE BLVD STE 1010
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5811
Practice Address - Country:US
Practice Address - Phone:715-574-2438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN24960101YM0800X
AL1585C1041C0700X
CA1050111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health