Provider Demographics
NPI:1962924837
Name:BARRIENTOS, MIRIAM YVETTE (MSW)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:YVETTE
Last Name:BARRIENTOS
Suffix:
Gender:F
Credentials:MSW
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 545
Mailing Address - Street 2:
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91747-0545
Mailing Address - Country:US
Mailing Address - Phone:1626-233-1393
Mailing Address - Fax:
Practice Address - Street 1:13846 NOLANDALE ST
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91746-1039
Practice Address - Country:US
Practice Address - Phone:626-233-1393
Practice Address - Fax:626-233-1393
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical