Individual provider Active NPI

Glynis Banks

  • Social Worker
  • Chelsea, MA
National Provider Identifier
1346611076
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
095796 Issued in NY
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

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716001300 CA Practitioner - Clinical Social Worker 4486169661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21227MDMDSocial Worker
SW131685PAMDSocial Worker
SW131485PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services of California, PC Clinical CurrentSince Jun 17, 2025 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.

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

Verify at the official NPI Registry.