Carla D. Banks, LCSW
Individual provider Active NPI Clinical Social Worker · Fort Carson, CO
NPI 1003065954 · NPPES record last updated Sep 16, 2008
Key facts
- NPI
- 1003065954
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1597-123 (WI)
- Practice address
- 5886 Barkeley Ave
Fort Carson, CO 80913-4152 - Phone
- (719) 526-9730
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1597-123 | WI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1597-123 | WI | Yes |
Addresses
Primary practice location
5886 Barkeley Ave
Fort Carson, CO 80913-4152
Mailing address
5886 Barkeley Ave
Fort Carson, CO 80913-4152
Phone (719) 526-9730
Other providers in Fort Carson, CO
- Megan Nichole Baird
- Blanca Balbino Tirado
- Joyce A Ball
- Andreas C Ballard
- Angela Bancroft
- Elizabeth N Baptista
- Ashley Isabel Barahona
- Theresa Barajas
- Barber DME Supply Group
- Jason Dan Barber
All providers in Fort Carson, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.