Healthcare Provider Details

I. General information

NPI: 1306266002
Provider Name (Legal Business Name): LAKEISHA BARNES LCSW, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W 4TH ST SUITE 2
WILMINGTON DE
19805-3367
US

IV. Provider business mailing address

2500 W 4TH ST STE 2
WILMINGTON DE
19805-3352
US

V. Phone/Fax

Practice location:
  • Phone: 302-472-0381
  • Fax:
Mailing address:
  • Phone: 302-428-9914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0012376
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: