Individual provider Active NPI

Le Andrea Banks, LCSWC

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1326276312
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19148 Issued in FL
Practice address
3545 Saint Johns Bluff Rd S
Jacksonville, FL 32224-2682
Phone
(301) 801-4626
Fax
(301) 576-4554
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW19148 FL Primary
Clinical Social Worker 1041C0700X 007332 CT
Clinical Social Worker 1041C0700X 14636 MD

Addresses

Primary practice location

3545 Saint Johns Bluff Rd S
Jacksonville, FL 32224-2682

Mailing address

3545 Saint Johns Bluff Rd S
Jacksonville, FL 32224-2682
Phone (301) 801-4626

Other identifiers 4

IdentifierTypeStateIssuer
023734500MedicaidMD
X2910001OtherMDCAREFIRST BCBS
28438775OtherMDCIGNA
648076OtherMDVALUEOPTIONS MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241025002374 FL Practitioner - Clinical Social Worker 5092852665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

4101 Southpoint Dr E
Jacksonville, FL 32216-0996
Phone (904) 296-6800

Merit-based Incentive Payment System (MIPS)

Final score
89.95 of 100Reported as group
Quality
84.69
Promoting interoperability
100
Improvement activities
40
Cost
74.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007332CTMDClinical Social Worker
SW19148FLMDClinical Social Worker
14636MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners PA CurrentSince Nov 17, 2025 Accepting new patients

Locations

4101 Southpoint Dr E
Jacksonville, FL 32216
Phone (570) 352-3063

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1326276312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 SAINT JOHNS BLUFF RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242682",
            "telephone_number": "301-801-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 SAINT JOHNS BLUFF RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242682",
            "telephone_number": "301-801-4626",
            "fax_number": "301-576-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "LE ANDREA",
        "name_prefix": "Ms.",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19148",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007332",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14636",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023734500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "X2910001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "28438775",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS MEDICAID",
            "identifier": "648076",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.