Diandra Susie Barnes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10871 Issued in CT

Practice address

63 E Center St Ste 2R
Manchester, CT 06040-5221

Phone

(860) 281-1133

Fax

(860) 650-0655

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Beehive Counseling & Wellness LLC

  • Marriage & Family Therapist
  • Manchester, CT
  • NPI 1003477829

  CT

  Medicare reassignment

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1831715440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E CENTER ST STE 2R",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405221",
            "telephone_number": "860-281-1133",
            "fax_number": "860-650-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E CENTER ST STE 2R",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405221",
            "telephone_number": "860-281-1133",
            "fax_number": "860-650-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "DIANDRA",
        "middle_name": "SUSIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Barandon, LPCA
• Brooke S Barber
• Taylor Barbieri
• Ashley Barile, DPT
• Amma Grace Barimah, FNP-C
• Julia Barnett, LPC-A
• Shannon T Barnett, LMSW
• John Scott Baroody
• Akilah J Barr
• Betsy J Barrett, LADC

• All providers in Manchester, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.