Individual provider Active NPI

Angel Sebastian Barraza

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1558129759
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34013035A Issued in IN
Practice address
3630 Ireland CT
Indianapolis, IN 46235-2145
Phone
(812) 327-3380
NPI assigned
Mar 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34013035A IN Primary

Addresses

Primary practice location

3630 Ireland CT
Indianapolis, IN 46235-2145

Mailing address

2324 Dawson St
Indianapolis, IN 46203-4419
Phone (812) 327-3380

Other practice location 1

8202 Clearvista Pkwy
Indianapolis, IN 46256-1400
Phone (317) 288-9942

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

State licenses

LicenseStateTypeSpecialty
33011783AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Interval Therapy & Consultation Clinical Past Accepting new patients

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1558129759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 DAWSON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034419",
            "telephone_number": "812-327-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 IRELAND CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462352145",
            "telephone_number": "812-327-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8202 Clearvista Pkwy",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561400",
            "country_code": "US",
            "telephone_number": "317-288-9942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRAZA",
        "first_name": "ANGEL",
        "middle_name": "SEBASTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34013035A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.