Individual provider Active NPI

Deborah D Banks

  • Social Worker
  • Toledo, OH
National Provider Identifier
1073166054
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1903693 Issued in OH
Practice address
5461 Southwyck Blvd Ste 2L
Toledo, OH 43614-1553
Phone
(419) 913-8680
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1903693 OH Primary

Addresses

Primary practice location

5461 Southwyck Blvd Ste 2L
Toledo, OH 43614-1553

Mailing address

5461 Southwyck Blvd Ste 2L
Toledo, OH 43614-1553
Phone (419) 913-8680

Other identifiers 1

IdentifierTypeStateIssuer
0359924MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1903693OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CJ Thomas Mental Health, LLC CurrentSince Oct 1, 2022 Accepting new patients
CJ Thomas Mental Health, LLC CurrentSince Jun 15, 2025 Accepting new patients

Locations

5461 Southwyck Blvd
Ste 2L
Toledo, OH 43614
Phone (419) 913-8680

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1073166054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 SOUTHWYCK BLVD STE 2L",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141553",
            "telephone_number": "419-913-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 SOUTHWYCK BLVD STE 2L",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141553",
            "telephone_number": "419-913-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "DEBORAH",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1903693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0359924",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.