Provider Demographics
NPI:1962486555
Name:BARNES, DARNELL T (LCSW, CSAC)
Entity Type:Individual
Prefix:MRS
First Name:DARNELL
Middle Name:T
Last Name:BARNES
Suffix:
Gender:F
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4346 STARKEY RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0605
Mailing Address - Country:US
Mailing Address - Phone:540-772-8043
Mailing Address - Fax:540-772-8242
Practice Address - Street 1:4346 STARKEY RD
Practice Address - Street 2:SUITE 1
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0605
Practice Address - Country:US
Practice Address - Phone:540-772-8043
Practice Address - Fax:540-772-8242
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710001174101YA0400X
VA09040030711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA083258OtherSOUTHERN HEALTH
VA227012OtherVALUE OPTIONS
VA254842000OtherMAGELLAN HEALTH SERVICES
VA010287138Medicaid
VA1060924OtherCIGNA HEALTH CARE
VA259237OtherANTHEM BCBS
VA5807609OtherAETNA
VA010287138Medicaid
VA083258OtherSOUTHERN HEALTH
VA00Y024A01Medicare PIN