Healthcare Provider Details

I. General information

NPI: 1336790369
Provider Name (Legal Business Name): PALOMA BARRERAS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2019
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 PLEASANT ST
LYNN MA
01901-1524
US

IV. Provider business mailing address

95 PLEASANT ST
LYNN MA
01901-1524
US

V. Phone/Fax

Practice location:
  • Phone: 781-913-7629
  • Fax:
Mailing address:
  • Phone: 781-913-7629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: