Blair Ibarra, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66857 Issued in CA

Practice address

5849 Crocker St Unit L
Los Angeles, CA 90003-1311

Phone

(323) 234-4445

Fax

(323) 234-4477

NPI assigned

Jan 17, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1124366711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 CROCKER ST UNIT L",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031311",
            "telephone_number": "323-234-4445",
            "fax_number": "323-234-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 CROCKER ST UNIT L",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031311",
            "telephone_number": "323-234-4445",
            "fax_number": "323-234-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 W Vista Way",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920835704",
            "country_code": "US",
            "telephone_number": "760-758-1150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5849 Crocker St Unit L",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900031311",
            "country_code": "US",
            "telephone_number": "323-234-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "66857",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "66857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ibarra
• Ana Ibarra
• Ana Esmeralda Ibarra, N.P.
• Arturo Ibarra, D.D.S.
• Beaivana Ibarra, FNP
• Christie Ibarra
• Ericka Joyce Ibarra
• Hector Ibarra, M.S.W.
• Ixtzel Ibarra
• Jennifer Ibarra

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.