Healthcare Provider Details

I. General information

NPI: 1619508397
Provider Name (Legal Business Name): HOPE DANIELLE BARNES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 189TH ST
LANSING IL
60438-3419
US

IV. Provider business mailing address

3033 189TH ST
LANSING IL
60438-3419
US

V. Phone/Fax

Practice location:
  • Phone: 630-777-1991
  • Fax:
Mailing address:
  • Phone: 630-777-1991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.027616
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: