Melissa Andrea Barraza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117593 Issued in CA

Practice address

11384 Triumph LN
Moreno Valley, CA 92557-5543

Phone

(562) 656-9531

NPI assigned

Jun 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jurupa Unified School District

  • Local Education Agency (LEA)
  • Jurupa Valley, CA
  • NPI 1861037954

  Clinical

  NPD (past)

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1154948909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11384 TRIUMPH LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925575543",
            "telephone_number": "562-656-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11384 TRIUMPH LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925575543",
            "telephone_number": "562-656-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAZA",
        "first_name": "MELISSA",
        "middle_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117593",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isela P. Baron, LMFT
• Bobbi Barr
• Jasmine Nataly Barragan
• Debbie Barraza
• Joaquin Barraza
• Leann Barriga
• Marco Antonio Barriga, APCC
• Joel D Barron, M.D.
• Menard Barruga, M.D.
• Barry Therapeutic Services LLC

• All providers in Moreno Valley, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.