Individual provider Active NPI

Rosa Ana Barraza, LCSW

  • Clinical Social Worker
  • Nampa, ID
National Provider Identifier
1982044004
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
92504 Issued in CA
Practice address
1123 12TH Ave Rd # 175
Nampa, ID 83686-5738
Phone
(208) 703-6957
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 92504 CA Primary

Addresses

Primary practice location

1123 12TH Ave Rd # 175
Nampa, ID 83686-5738

Mailing address

1123 12TH Ave Rd # 175
Nampa, ID 83686-5738
Phone (208) 703-6957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92504CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mentalpeacesolutions Current Accepting new patients
Gunn Behavioral Care of California, PC PastSince Jan 8, 2019 Accepting new patients

Locations

1123 12th Ave Rd
Nampa, ID 83686
Phone (208) 703-6957

Organizations & group practices 2

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1982044004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 12TH AVE RD # 175",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865738",
            "telephone_number": "208-703-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 12TH AVE RD # 175",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865738",
            "telephone_number": "208-703-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAZA",
        "first_name": "ROSA",
        "middle_name": "ANA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.