Marie Hope Barraza-Guerrero

Individual provider Active NPI Clinical Social Worker · Irwindale, CA

NPI 1649870593 · NPPES record last updated Mar 21, 2025

Key facts

NPI
1649870593
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW129055 (CA)
Practice address
13001 Ramona Blvd Ste a
Irwindale, CA 91706-3752
Phone
(626) 373-2900
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

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.

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
97487CAMDClinical Social Worker
LCSW129055CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Development of California PC Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 97487 CA
Clinical Social Worker 1041C0700X LCSW129055 CA Yes
Mental Health Counselor 101YM0800X 97487 CA

Addresses

Primary practice location

13001 Ramona Blvd Ste a
Irwindale, CA 91706-3752

Mailing address

940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 543-2800

Other providers in Irwindale, CA

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

Sources for this page

Verify at the official NPI Registry.