Organization Active NPI

Rhoda Banks LCSW LLC

  • Social Worker
  • Brookfield, CT
National Provider Identifier
1184835670
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
004155 Issued in CT
Legal business name
RHODA BANKS LCSW LLC
Practice address
246 Federal Rd
Unit C-33
Brookfield, CT 06804-2647
Phone
(203) 775-6269
Fax
(203) 740-7887
NPI assigned
May 25, 2007
Last updated
May 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Ms. Rhoda Banks, LCSWNPI 1285779694
Title
Social Worker
Phone
(203) 790-1664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 004155 CT Primary

Addresses

Primary practice location

246 Federal Rd
Unit C-33
Brookfield, CT 06804-2647

Mailing address

246 Federal Rd
Unit C-33
Brookfield, CT 06804-2647
Phone (203) 775-6269

Other identifiers 2

IdentifierTypeStateIssuer
004231601MedicaidCT
163042OtherCTVALUEOPTIONS ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050810001096 CT Part B Supplier - Clinic/Group Practice 3678502531 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, CT

National Provider Directory

National Provider Directory

Locations

36 Mill Plain Rd
Ste 205
Danbury, CT 06811
Phone (203) 790-1664

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1184835670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD",
            "address_2": "UNIT C-33",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042647",
            "telephone_number": "203-775-6269",
            "fax_number": "203-740-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD",
            "address_2": "UNIT C-33",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042647",
            "telephone_number": "203-775-6269",
            "fax_number": "203-740-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODA BANKS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "203-790-1664",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "004155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004231601",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS ID#",
            "identifier": "163042",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.