Healthcare Provider Details

I. General information

NPI: 1033365622
Provider Name (Legal Business Name): VALERIE DENISE BARNES MSW, CNA, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 W 79TH PL
CHICAGO IL
60652-1431
US

IV. Provider business mailing address

3533 W 79TH PL
CHICAGO IL
60652-1431
US

V. Phone/Fax

Practice location:
  • Phone: 773-251-8831
  • Fax: 872-207-8855
Mailing address:
  • Phone: 773-490-7864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSA6166992
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150107815
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: