Individual provider Active NPI

Dianna Barrantes, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1720476138
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64562 Issued in CA
Practice address
3298 Governor Dr Unit 22994
San Diego, CA 92192-5039
Phone
(858) 366-2730
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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 64562 CA Primary

Addresses

Primary practice location

3298 Governor Dr Unit 22994
San Diego, CA 92192-5039

Mailing address

3298 Governor Dr Unit 22994
San Diego, CA 92192-5039
Phone (858) 366-2730

Other names 1

  • Deanna Patricia Barrantes Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
64562CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1720476138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 GOVERNOR DR UNIT 22994",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921925039",
            "telephone_number": "858-366-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 GOVERNOR DR UNIT 22994",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921925039",
            "telephone_number": "858-366-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRANTES",
        "first_name": "DIANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "BARRANTES",
            "middle_name": "PATRICIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.