MEDICARE: LAURA BARRIGA LMSW, MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SWB20240478	NM

General Provider Information

NPI Number	:	1578373122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BARRIGA LMSW, MA

Provider Business Mailing Address
First Line	:	1520 UNIVERSITY BLVD NE APT 222
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-1722
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	807 4TH ST SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-4138
Country	:	US
Telephone Number	:	505-247-7492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	01/07/2025

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