Scott M Banford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05010800 Issued in NJ

Practice address

1590 Anderson Ave
12-K
Fort Lee, NJ 07024-2702

Phone

(201) 242-0221

Fax

(201) 242-0221

NPI assigned

Dec 18, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellqor Psychological Services Northeast, PC

  • Clinical Psychologist
  • Highland Park, NJ
  • NPI 1326442567
  Medicare reassignment NPD
• Scott M Banford, LCSW

  • Clinical Social Worker
  • Alexandria, KY
  • NPI 1760261788
  NPD Authorized official

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1336485465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 ANDERSON AVE",
            "address_2": "12-K",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242702",
            "telephone_number": "201-242-0221",
            "fax_number": "201-242-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 ANDERSON AVE",
            "address_2": "12-K",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242702",
            "telephone_number": "201-242-0221",
            "fax_number": "201-242-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANFORD",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05010800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Bagaloo
• Sammy Sang-June Bai, M.D.
• Seoung Won Baik, MD
• Haley Balouch
• Raviprasad Bandi
• Harry Banschick, M.D.
• Fenglei Bao
• Silvio Anthony Barone, R.PH
• Jayati Basak, M.D.
• Irina Bashkirov, LAC

• Clinical Social Worker in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.