Caitlin A Banz, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06180800 Issued in NJ

Practice address

35 Beaverson Blvd Ste 8a
Brick, NJ 08723-7861

Phone

(908) 373-1059

Fax

(908) 373-8549

NPI assigned

Mar 31, 2023

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

Other names 1

• Caitlin A Connolly Former name

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": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1013612951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DUCHESS CT",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287758",
            "telephone_number": "732-429-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD STE 8A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237861",
            "telephone_number": "908-373-1059",
            "fax_number": "908-373-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANZ",
        "first_name": "CAITLIN",
        "middle_name": "A",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06180800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "CONNOLLY",
            "middle_name": "A",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Krystyna Banfield, APN-C
• Samantha Bangs
• Sarah Baqi
• Adam Baran, DO
• James Barber, A.T.C.
• Frank Anthony Barone, MD
• Rhodora Barretto, APN-BC

• Social Worker in Brick, NJ
• Providers in Brick, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.