Individual provider Active NPI

Rhoda Banks, LCSW

  • Social Worker
  • Brookfield, CT
National Provider Identifier
1285779694
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
004155 Issued in CT
Practice address
246 Federal Rd
Unit C-33
Brookfield, CT 06804-2647
Phone
(203) 775-6269
Fax
(203) 740-7887
NPI assigned
Feb 21, 2007
Last updated
Jun 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 004155 CT Primary
Social Worker 104100000X R038516-1 NY

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 1

IdentifierTypeStateIssuer
004231601MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602001181 CT Practitioner - Clinical Social Worker 3678516424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

246 Federal Rd
Suite C33B
Brookfield, CT 06804-2670
Phone (203) 775-6269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4155CTMDClinical Psychologist
R038516-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rhoda Banks LCSW LLC Social Worker CurrentSince Jan 1, 1998 Accepting new patients
Newtown Youth and Family Services, Inc. Past Accepting new patients
The Nutrition Center, LLC PastSince Jan 1, 1998 Accepting new patients

Locations

246 Federal Rd
Ste C33
Brookfield, CT 06804
Phone (203) 740-2644

246 Federal Rd
Ste C33B
Brookfield, CT 06804
Phone (203) 775-3536

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1285779694",
    "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": {
        "last_name": "BANKS",
        "first_name": "RHODA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "004155",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R038516-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004231601",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.