Active NPI
Jessica Banks, LICSW
- Clinical Social Worker
- West Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW02787
- Practice address
- 186 Providence St
West Warwick, RI 02893-2508 - Phone
- (401) 767-4100
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSW02787 | RI | |
| Mental Health Counselor | 101YM0800X | CSW02787 | RI | |
| Clinical Social Worker | 1041C0700X | CSW02787 | RI | Primary |
Addresses
Primary practice location
186 Providence St
West Warwick, RI 02893-2508
Mailing address
186 Providence St
West Warwick, RI 02893-2508
Phone (401) 767-4100
Other practice location 1
48 Ninigret Ave
Providence, RI 02907-3043
Phone (401) 835-7038
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Laptop |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thundermist Health Center | Current | Accepting new patients | |
| Thundermist Health Center | Current | Accepting new patients | |
| Thundermist Health Center | Current | Accepting new patients |
Locations
186 Providence St
West Warwick, RI 02893
Phone (401) 615-2800
25 John a Cummings Way
Ste 302
Woonsocket, RI 02895
450 Clinton St
Woonsocket, RI 02895
25 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 235-7310
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCBEAA
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.
-
- Federally Qualified Health Center (FQHC)
- Wakefield, RI
- NPI 1700041001
-
- Federally Qualified Health Center (FQHC)
- Narragansett, RI
- NPI 1265190292
-
- Federally Qualified Health Center (FQHC)
- Woonsocket, RI
- NPI 1801152947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1457086761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 PROVIDENCE ST",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932508",
"telephone_number": "401-767-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 PROVIDENCE ST",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932508",
"telephone_number": "401-767-4100"
}
],
"practiceLocations": [
{
"address_1": "48 Ninigret Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029073043",
"country_code": "US",
"telephone_number": "401-835-7038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANKS",
"first_name": "JESSICA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CSW02787",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "CSW02787",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "CSW02787",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Laptop",
"affiliation": "N",
"address_1": "48 Ninigret Ave",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029073043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.