Active NPI
Glynis Banks
- Social Worker
- Chelsea, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 095796
- Practice address
- 325 Commandants Way
Apt. 411
Chelsea, MA 02150-4000 - Phone
- (215) 313-6570
- NPI assigned
- Oct 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW131685 | PA | |
| Social Worker | 104100000X | 095796 | NY | Primary |
| Social Worker | 104100000X | 21227 | MD | |
| Clinical Social Worker | 1041C0700X | SW131485 | PA | |
| Clinical Social Worker | 1041C0700X | 21227 | MD |
Addresses
Primary practice location
325 Commandants Way
Apt. 411
Chelsea, MA 02150-4000
Mailing address
325 Commandants Way
Apt. 411
Chelsea, MA 02150-4000
Phone (215) 313-6570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21227 | MD | MD | Social Worker |
| SW131685 | PA | MD | Social Worker |
| SW131485 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellqor Psychological Services of California, PC | Clinical | Current | Accepting new patients |
| Darrell Broaddus Psychological Services PC | Past | Accepting new patients | |
| Rehabcare Group East, LLC | Past | Accepting new patients |
Locations
350 Calloway Dr
Bakersfield, CA 93312
Phone (661) 587-0182
9730 Backer Ranch Rd
Elk Grove, CA 95757
Phone (833) 667-1103
3012 Bear Valley Pkwy S
Escondido, CA 92025
Phone (760) 735-8084
7545 Irvine Center Dr
Ste 200
Irvine, CA 92618
Phone (949) 503-5112
900 N Church St
Lodi, CA 95240
Phone (209) 201-2650
1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799
2404 Loring St
San Diego, CA 92109
Phone (858) 252-2700
980 W 7th St
San Jacinto, CA 92582
Phone (951) 654-9347
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
245 W Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 325-3780
25535 Hawthorne Blvd
Torrance, CA 90505
2419 N Euclid Ave
Upland, CA 91784
Phone (909) 981-4002
135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Murrieta, CA
- NPI 1093173742
-
- Clinical Psychologist
- Orangevale, CA
- NPI 1215339650
-
- Rehabilitation Clinic/Center
- Laguna Hills, CA
- NPI 1033161849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1346611076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 COMMANDANTS WAY",
"address_2": "APT. 411",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021504000",
"telephone_number": "215-313-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 COMMANDANTS WAY",
"address_2": "APT. 411",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021504000",
"telephone_number": "215-313-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "GLYNIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW131685",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "095796",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "21227",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW131485",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "21227",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.