Active NPI
Maria S Barajas, LCSW
- Clinical Social Worker
- San Andreas, CA
National Provider Identifier
1407460629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119490
- Practice address
- 891 Mountain Ranch Rd
San Andreas, CA 95249-9713 - Phone
- (209) 754-6066
- NPI assigned
- Sep 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 119490 | CA | Primary |
Addresses
Primary practice location
891 Mountain Ranch Rd
San Andreas, CA 95249-9713
Mailing address
PO Box 764
Tuolumne, CA 95379-0764
Phone (209) 495-4892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 N Palm Canyon Dr
Suite 214
Palm Springs, CA 92262-5685
Phone (442) 274-0149
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119490 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sabi Pathways Family Therapy Inc. | Clinical | Current | Accepting new patients |
Locations
301 N Palm Canyon Dr
Ste 103
Palm Springs, CA 92262
Phone (323) 640-2287
333 N Palm Canyon Dr
Ste 215
Palm Springs, CA 92262
Phone (442) 274-0149
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1407460629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 764",
"city": "TUOLUMNE",
"state": "CA",
"postal_code": "953790764",
"telephone_number": "209-495-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 MOUNTAIN RANCH RD",
"city": "SAN ANDREAS",
"state": "CA",
"postal_code": "952499713",
"telephone_number": "209-754-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAJAS",
"first_name": "MARIA",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "119490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Andreas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.