Provider Demographics
NPI:1912054693
Name:BARBARA PIZZARELLO LCSW INC.
Entity type:Organization
Organization Name:BARBARA PIZZARELLO LCSW INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-279-6721
Mailing Address - Street 1:3914 MURPHY CANYON RD
Mailing Address - Street 2:STE. A170
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4491
Mailing Address - Country:US
Mailing Address - Phone:858-279-6721
Mailing Address - Fax:858-279-5440
Practice Address - Street 1:3914 MURPHY CANYON RD
Practice Address - Street 2:STE. A170
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4491
Practice Address - Country:US
Practice Address - Phone:858-279-6721
Practice Address - Fax:858-279-5440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS16343104100000X
CAMFC41596104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty