Gretchen G Bankston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2661 Issued in LA

Practice address

4919 Jamestown Ave Ste 101
Baton Rouge, LA 70808-3228

Phone

(225) 924-6621

Fax

(225) 924-6627

NPI assigned

Jan 18, 2007

Last updated

Feb 15, 2011By 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)

Enrolled

State licenses

Practice roles

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.

• Grief Recovery Center

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1518379833
  NPD (past)
• Grief Recovery Center

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1972778512
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1578616348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 JAMESTOWN AVE STE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083228",
            "telephone_number": "225-924-6621",
            "fax_number": "225-924-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 JAMESTOWN AVE STE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083228",
            "telephone_number": "225-924-6621",
            "fax_number": "225-924-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKSTON",
        "first_name": "GRETCHEN",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1917389",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trendalyn Banks
• Albert Brent Bankston, MD
• Antoinette Q. Bankston, LCSW
• Brett Bankston, PA-C
• Cecil Noel Bankston Jr., M.D.
• Larry Stephen Bankston Jr., MD
• Susan Melinda Bankston, MD
• Suzanne Bonnette Bankston
• Jonah Bann
• Angelina M Bannister, RPH

• Clinical Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.