MEDICARE: ANGELA D BARRIENTES

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	105623	TX

General Provider Information

NPI Number	:	1619830452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA D BARRIENTES

Provider Business Mailing Address
First Line	:	207 E AMBER ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-2421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 E AMBER ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-2421
Country	:	US
Telephone Number	:	210-663-6339
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ ANGELA D BARRIENTES ” Practice Location

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