Provider Demographics
NPI:1902303233
Name:SANCHEZ-BARRAGAN, JOANNA LIZBETH (LCSW)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:LIZBETH
Last Name:SANCHEZ-BARRAGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 N AVENUE 66
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-1508
Mailing Address - Country:US
Mailing Address - Phone:626-395-7100
Mailing Address - Fax:
Practice Address - Street 1:5100 S EASTERN AVE STE 110
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-2964
Practice Address - Country:US
Practice Address - Phone:323-837-0838
Practice Address - Fax:559-591-6684
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAACSW102081101YM0800X
CA102081104100000X
CA1303501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker