Provider Demographics
NPI:1033365622
Name:BARNES, VALERIE DENISE (MSW, CNA, LSW)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:DENISE
Last Name:BARNES
Suffix:
Gender:
Credentials:MSW, CNA, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3533 W 79TH PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-1431
Mailing Address - Country:US
Mailing Address - Phone:773-490-7864
Mailing Address - Fax:
Practice Address - Street 1:3533 W 79TH PL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-1431
Practice Address - Country:US
Practice Address - Phone:773-251-8831
Practice Address - Fax:872-207-8855
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASA61669921041C0700X
IL374U00000X
IL150107815104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1033365622Medicaid