Elsita Frezell Barnes

Individual provider Active NPI Clinical Social Worker · Tehachapi, CA

NPI 1235305822 · NPPES record last updated Jun 7, 2023

Key facts

NPI
1235305822
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
ASW105838 (CA)
Practice address
410 W J St Ste a
Tehachapi, CA 93561-1411
Phone
(707) 642-6942
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ASW105838CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X ASW105838 CA Yes

Addresses

Primary practice location

410 W J St Ste a
Tehachapi, CA 93561-1411

Mailing address

409 W 10TH St
Antioch, CA 94509-1651
Phone (510) 599-4678

Other providers in Tehachapi, CA

All providers in Tehachapi, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.