Chase Todd Bannister, MDIV MSW LCSW CEDS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006086 Issued in NC

Practice address

817 Broad St
Durham, NC 27705-4137

Phone

(202) 670-5125

NPI assigned

Jun 23, 2008

Last updated

Jul 21, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386805315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 STUART DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072262",
            "telephone_number": "202-670-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054137",
            "telephone_number": "202-670-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "CHASE",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "MDIV MSW LCSW CEDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrae Banks, MSW, LCSW
• April A Banks, RPH;MPH
• Doresha Banks, LMBT
• Faye T Banks, M.D.
• Heidi Shell Banner, DNP, CRNA
• Mary Banoub
• Mohit Bansal, M.D.
• Sonya Denise Baptist
• Shira Bar-on
• Shahar Bar-Yosef, MD

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.