Healthcare Provider Details

I. General information

NPI: 1114735305
Provider Name (Legal Business Name): TENISHA BARNES LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-7024
US

IV. Provider business mailing address

16900 SCIENCE DR STE 208-210
BOWIE MD
20715-4401
US

V. Phone/Fax

Practice location:
  • Phone: 202-547-8450
  • Fax:
Mailing address:
  • Phone: 240-617-1399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number31268
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200004990
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: