MEDICARE: MRS. DARNELL T BARNES LCSW, CSAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	0710001174	VA
2	1041C0700X	Clinical Social Worker	0904003071	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	083258	OTHER	VA	SOUTHERN HEALTH
2	227012	OTHER	VA	VALUE OPTIONS
3	254842000	OTHER	VA	MAGELLAN HEALTH SERVICES
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1060924	OTHER	VA	CIGNA HEALTH CARE
6	259237	OTHER	VA	ANTHEM BCBS
7	5807609	OTHER	VA	AETNA

General Provider Information

NPI Number	:	1962486555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DARNELL T BARNES LCSW, CSAC

Provider Business Mailing Address
First Line	:	4346 STARKEY RD
Second Line	:	SUITE 1
City	:	ROANOKE
State	:	VA
Zip	:	24018-0605
Country	:	US
Telephone Number	:	540-772-8043
Fax Number	:	540-772-8242

Provider Business Practice Location Address
First Line	:	4346 STARKEY RD
Second Line	:	SUITE 1
City	:	ROANOKE
State	:	VA
Zip	:	24018-0605
Country	:	US
Telephone Number	:	540-772-8043
Fax Number	:	540-772-8242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	07/14/2009

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