Tiara Banks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149026534 Issued in IL

Practice address

14507 Des Plaines St
Harvey, IL 60426-1809

Phone

(708) 674-8904

NPI assigned

May 4, 2024

Last updated

May 4, 2024By the provider in NPPES

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

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": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1043067226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14507 DES PLAINES ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261809",
            "telephone_number": "708-674-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14507 DES PLAINES ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261809",
            "telephone_number": "708-674-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "TIARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aunt Marthas Youth Service Center Inc
• Aunt Marthas Youth Service Center Inc (Aunt Marthas Harvey Community Health Center)
• Mfombu Ayukesong, CSA
• John William Baldwin, DO
• Kamilah Banks Word
• Laverne Monise Barnes, DO, MPH
• Cynthia Baron, LCPC
• Judith M Bazil, PT
• Charles A Beck Jr., MD
• Claire Belton, PA-C

• Clinical Social Worker in Harvey, IL
• Providers in Harvey, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.