Healthcare Provider Details

I. General information

NPI: 1639160625
Provider Name (Legal Business Name): ANNA L BARRIOS LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6509 MESA MARIPOSA PL NW STE B
ALBUQUERQUE NM
87120-3364
US

IV. Provider business mailing address

6509 MESA MARIPOSA PL NW
ALBUQUERQUE NM
87120-3364
US

V. Phone/Fax

Practice location:
  • Phone: 505-319-1276
  • Fax:
Mailing address:
  • Phone: 505-319-1276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC-05971
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61300126
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW110606
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: