Individual provider Active NPI

Andrea Candis Banton, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1548962673
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118790 Issued in NY
Practice address
463 7TH Ave
New York, NY 10018-7448
Phone
(646) 483-6409
Fax
(212) 979-8894
NPI assigned
Mar 21, 2023
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 118790 NY Primary

Addresses

Primary practice location

463 7TH Ave
New York, NY 10018-7448

Mailing address

1616 Grand Ave FRNT Desk
Bronx, NY 10453-7778
Phone (718) 583-9824

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

State licenses

LicenseStateTypeSpecialty
118790NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1548962673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 GRAND AVE FRNT DESK",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104537778",
            "telephone_number": "718-583-9824",
            "fax_number": "212-979-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187448",
            "telephone_number": "646-483-6409",
            "fax_number": "212-979-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTON",
        "first_name": "ANDREA",
        "middle_name": "CANDIS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "118790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.