Individual provider Active NPI

Sevaughn Banks, PHD, ACSW

  • Clinical Social Worker
  • Antioch, CA
National Provider Identifier
1467312041
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129750 Issued in CA
Practice address
2810 Lone Tree Way Ste 9
Antioch, CA 94509-4956
Phone
(925) 391-2435
NPI assigned
Nov 14, 2025
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 129750 CA Primary

Addresses

Primary practice location

2810 Lone Tree Way Ste 9
Antioch, CA 94509-4956

Mailing address

2810 Lone Tree Way Ste 9
Antioch, CA 94509-4956
Phone (925) 489-1110

Other practice location 1

1160 Brickyard Cove Rd
Richmond, CA 94801-4107
Phone (510) 945-1055 ext. 51055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
129750CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1467312041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 LONE TREE WAY STE 9",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094956",
            "telephone_number": "925-489-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 LONE TREE WAY STE 9",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094956",
            "telephone_number": "925-391-2435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Brickyard Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948014107",
            "country_code": "US",
            "telephone_number": "510-945-1055 x51055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "SEVAUGHN",
        "name_prefix": "Dr.",
        "credential": "PHD, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "129750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.