Organization Active NPI

Crystal Barrera Licensed Clinical Social Worker, Inc.

  • Community/Behavioral Health Agency
  • El Dorado Hills, CA
National Provider Identifier
1831075506
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CRYSTAL BARRERA LICENSED CLINICAL SOCIAL WORKER, INC.
Practice address
5170 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9608
Phone
(209) 606-3886
Fax
(916) 282-1692
NPI assigned
Aug 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Crystal Yvette BarreraNPI 1902049240
Title
LCSW/Owner
Phone
(209) 606-3886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5170 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9608

Mailing address

PO Box 24
Shingle Springs, CA 95682-0024
Phone (209) 606-3886

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1831075506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956820024",
            "telephone_number": "209-606-3886",
            "fax_number": "916-282-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 GOLDEN FOOTHILL PKWY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629608",
            "telephone_number": "209-606-3886",
            "fax_number": "916-282-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL BARRERA LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "209-606-3886"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.