Individual provider Active NPI

Kelvin Lamarr Banks, MA, MSW, LLMSW, CTS

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1295079291
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094195 Issued in MI
Practice address
28448 Westerleigh Rd
Farmington Hills, MI 48334-3472
Phone
(313) 613-0856
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094195 MI Primary

Addresses

Primary practice location

28448 Westerleigh Rd
Farmington Hills, MI 48334-3472

Mailing address

28448 Westerleigh Rd
Farmington Hills, MI 48334-3472
Phone (313) 613-0856

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6801094195MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The B(2).E.S.T. Solutions LLC Past Accepting new patients

Organizations & group practices 1

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1295079291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28448 WESTERLEIGH RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343472",
            "telephone_number": "313-613-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28448 WESTERLEIGH RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343472",
            "telephone_number": "313-613-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "KELVIN",
        "middle_name": "LAMARR",
        "credential": "MA, MSW, LLMSW, CTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.