Nicole Banales, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06182000 Issued in NJ

Practice address

15 Warren St Ste 23
Hackensack, NJ 07601-5436

Phone

(201) 205-1131

NPI assigned

Sep 3, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Thriving Minds LLC

  • Clinical Social Worker
  • Hackensack, NJ
  • NPI 1316580293
  NPD

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1558196477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 REICHELT RD APT D",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076465138",
            "telephone_number": "915-538-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WARREN ST STE 23",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015436",
            "telephone_number": "201-205-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANALES",
        "first_name": "NICOLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06182000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730637893",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Balavram
• Taaran Cariappa Ballachanda Subbaiah, M.D.
• Garth Hadden Ballantyne, MD
• Bami Dental Inc. (Bami Dental Center)
• Heather A Bamond, PA
• Janelle Bang, PT, DPT
• Teresa Sharlene Bittol Bangwa
• Henrietta Bannerman
• Jerry Michael Baratta, D.O.
• Barbara a Cavallaro, MD PC

• Clinical Social Worker in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.