MEDICARE: NICHOLAS O BARRINGTON LCSW

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	123200	CA
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1639832702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS O BARRINGTON LCSW

Provider Business Mailing Address
First Line	:	11232 LOS ALAMITOS BLVD STE 103B
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3900
Country	:	US
Telephone Number	:	562-294-6257
Fax Number	:	562-284-5142

Provider Business Practice Location Address
First Line	:	11232 LOS ALAMITOS BLVD STE 103B
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3900
Country	:	US
Telephone Number	:	562-294-6257
Fax Number	:	562-284-5142

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

Provider Enumeration Date	:	10/15/2021
Last Update Date	:	04/10/2026

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Directions to “ NICHOLAS O BARRINGTON LCSW” Practice Location

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