Jennifer Bandzwolek

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P010823 Issued in NC

Practice address

119 Tunnel Rd
Asheville, NC 28805-1869

Phone

(401) 259-3681

NPI assigned

Mar 7, 2017

Last updated

Mar 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• October Road Inc.

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1144375767
  Medicare reassignment
• Earl Sunderhaus MD PA

  • Ophthalmology Physician
  • Asheville, NC
  • NPI 1942294459
  NPD (past)

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1356881494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 DAVIS GREY DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288030175",
            "telephone_number": "401-259-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TUNNEL RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051869",
            "telephone_number": "401-259-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDZWOLEK",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22793",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Bammer, M.D.
• Justin Bammer, MD
• Banaltrum Private Duty Caregivers, LTD
• Jaclyn Marie Bandell, MSN, APRN, FNP-C
• Timothy Shelton Bandell, LCSW
• Meghan Banks, RBT
• Ronya Banks, LCSW-A
• Sarah Banks, HEARING INSTRUMENT S
• Christine Banman, R.D., L.D.N.
• Baptist Childrens Homes of NC Inc (Alverta Bolick Home)

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.

Verify at the official NPI Registry.