Healthcare Provider Details

I. General information

NPI: 1235825225
Provider Name (Legal Business Name): BARBARA ESPINOZA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 WARREN RD
ANN ARBOR MI
48105-9633
US

IV. Provider business mailing address

1875 WARREN RD
ANN ARBOR MI
48105-9633
US

V. Phone/Fax

Practice location:
  • Phone: 734-678-3325
  • Fax:
Mailing address:
  • Phone: 734-678-3325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801082365
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801082365
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: