Kanisha R Barnes, LCSW-C, LICSW

Key facts

NPI

1922407345

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

License

LC50081441 (DC)

Practice address

2908 Mueserbush CT
Glenarden, MD 20706-5514

Phone

(443) 743-2563

Fax

(301) 591-6268

NPI assigned

Aug 21, 2014

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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.

• Restorative Life Therapy Services, LLC Clinical Social Worker · Glenarden, MD · NPI 1760145734
  NPD Authorized official CLINICAL

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 29, 2025.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1922407345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 MUESERBUSH CT",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207065514",
            "telephone_number": "443-743-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 MUESERBUSH CT",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207065514",
            "telephone_number": "443-743-2563",
            "fax_number": "301-591-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KANISHA",
        "middle_name": "R",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19945",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "LC50081441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@releasewellnessgroup.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "address_1": "2908 Mueserbush Ct",
            "city": "Glenarden",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207065514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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