Kyme'Ja Ajoy Barnes-Talley, BSW, MSW, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851110279 Issued in MI

Practice address

17421 Telegraph Rd
Detroit, MI 48219-3165

Phone

(313) 531-2500

NPI assigned

Nov 20, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1124664586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 12TH ST",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "482291317",
            "telephone_number": "313-401-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17421 TELEGRAPH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193165",
            "telephone_number": "313-531-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13101 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952216",
            "country_code": "US",
            "telephone_number": "734-785-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES-TALLEY",
        "first_name": "KYME'JA",
        "middle_name": "AJOY",
        "credential": "BSW, MSW, LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lasonia Adrene Barlow, LLPC
• Lara Barnas, PA-C
• Madeline Victoria Barnauskas, PT, DPT
• Rodney L. Barnes Llmsw, LLMSW, CAADC, ACSW
• Darrell Barnes-Bey, CPRM-M
• Ashley Grace Barnes, PA-C
• Breannah Barnes, BS, CADC
• Chanel Barnes, RN
• Danielle Barnes, AODA
• Fatinema Larell Barnes

• All providers in Detroit, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.