Active NPI
Nikita L Banks, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1588029607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084864-01
- Practice address
- 1118 Bedford Ave
Brooklyn, NY 11216-1303 - Phone
- (347) 566-5629
- NPI assigned
- Dec 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW006175 | GA | |
| Clinical Social Worker | 1041C0700X | 44SC05721900 | NJ | |
| Clinical Social Worker | 1041C0700X | 084864-01 | NY | Primary |
Addresses
Primary practice location
1118 Bedford Ave
Brooklyn, NY 11216-1303
Mailing address
1532 Ocean Ave Apt 2E
Brooklyn, NY 11230-4570
Phone (347) 516-5629
Other practice location 1
9729 64th Rd
Rego Park, NY 11374-2259
Phone (718) 896-3400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006175 | GA | MD | Clinical Social Worker |
| 44SC05721900 | NJ | MD | Clinical Social Worker |
| 084864-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Consultation Center, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Elmhurst, NY
- NPI 1295878577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1588029607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 OCEAN AVE APT 2E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304570",
"telephone_number": "347-516-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112161303",
"telephone_number": "347-566-5629"
}
],
"practiceLocations": [
{
"address_1": "9729 64th Rd",
"address_purpose": "LOCATION",
"city": "Rego Park",
"state": "NY",
"postal_code": "113742259",
"country_code": "US",
"telephone_number": "718-896-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANKS",
"first_name": "NIKITA",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-16",
"last_updated": "2021-09-21",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006175",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05721900",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084864-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.