Individual ProviderMartha C BarenbruggeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address86 S 14th St, Alliance For Community Care Isp, San Jose, CA 95112-2015(408) 938-6750(408) 261-7777PECOS EnrollmentBased on the most recent information from CMS, provider Martha C Barenbrugge does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1255470605Provider TypeIndividualFull NameBarenbrugge, Martha CTitleMr.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date2/5/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address86 S 14th St, Alliance For Community Care Isp, San Jose, CA 95112-2015Phone(408) 938-6750Fax(408) 977-0145Mailing LocationMailing Address2001 The Alameda, Alliance For Community Care, San Jose, CA 95126-1136Phone(408) 261-7777Fax(408) 254-9960Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCSW 18869CaliforniaCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801014853Michigan