Carol Evelyn Friske Banks, LBSW

Individual provider Active NPI Social Worker · Mount Pleasant, MI

NPI 1114533189 · NPPES record last updated Sep 16, 2020

Key facts

NPI
1114533189
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
6802066969 (MI)
Practice address
107 E Illinois St
Mount Pleasant, MI 48858-2503
Phone
(989) 773-6904
Fax
(989) 772-5339
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6802066969MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crisis Center Inc Current
since Jun 16, 2024
Accepting new patients
Crisis Center Inc Current
since Jun 16, 2024
Accepting new patients

Locations

107 E Illinois St
Mt Pleasant, MI 48858
Phone (989) 772-2918

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802066969 MI Yes

Addresses

Primary practice location

107 E Illinois St
Mount Pleasant, MI 48858-2503

Mailing address

PO Box 800
Mount Pleasant, MI 48804-0800
Phone (989) 773-6904

Other providers in Mount Pleasant, MI

All providers in Mount Pleasant, MI · Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.