Lakeisha Barris, LCSW, MBA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW13654 Issued in FL

Practice address

1601 SW Archer Rd
Gainesville, FL 32608-1197

Phone

(352) 376-1611

NPI assigned

Jul 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Impower, Inc

  • Community/Behavioral Health Agency
  • Longwood, FL
  • NPI 1104910868
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1275187114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 FOX SQUIRREL DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320737656",
            "telephone_number": "904-796-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081197",
            "telephone_number": "352-376-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3107 Fox Squirrel Dr",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320737656",
            "country_code": "US",
            "telephone_number": "904-796-7469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Westhall Ln Ste 207",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517478",
            "country_code": "US",
            "telephone_number": "800-840-2528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRIS",
        "first_name": "LAKEISHA",
        "credential": "LCSW, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW13654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103764200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "3107 Fox Squirrel Dr",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320737656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "address_1": "3107 Fox Squirrel Dr",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320737656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalia Paz Barria
• Heidi Barriger
• Jereth Barrio, ARNP
• Anthony Alfonso Barrios, MD
• Evan Louis Barrios, MD
• Julie Barritt, PH.D.
• Kelly Glenn Barron, B.A., T.C.M.
• Julie Ann Barrons Olsen, DMD
• Mark Velpeau Barrow Sr., MD PHD
• Mark Miller Barry, PA

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.