Active NPI
Mariela Contreras-Barajas
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1144788654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801114004
- Practice address
- 4341 S Westnedge Ave Ste 1106
Kalamazoo, MI 49008-3283 - Phone
- (269) 312-1446
- NPI assigned
- Mar 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801114004 | MI | Primary |
Addresses
Primary practice location
4341 S Westnedge Ave Ste 1106
Kalamazoo, MI 49008-3283
Mailing address
PO Box 2174
Kalamazoo, MI 49003-2174
Phone (810) 627-4922
Other practice location 1
1125 E Milham Ave Ste B
Portage, MI 49002-3096
Phone (269) 312-1446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1144788654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2174",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490032174",
"telephone_number": "810-627-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 S WESTNEDGE AVE STE 1106",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083283",
"telephone_number": "269-312-1446"
}
],
"practiceLocations": [
{
"address_1": "1125 E Milham Ave Ste B",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "MI",
"postal_code": "490023096",
"country_code": "US",
"telephone_number": "269-312-1446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONTRERAS-BARAJAS",
"first_name": "MARIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801114004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.