Jennifer E Banfield, CASEMANAGER
Individual provider Active NPI Social Worker · Bartow, FL
NPI 1588999239 · NPPES record last updated Oct 14, 2009
Key facts
- NPI
- 1588999239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1255 Brice Blvd
Bartow, FL 33830-6735 - Phone
- (863) 519-8233
- Fax
- (863) 519-8304
- NPI assigned
- Oct 14, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
1255 Brice Blvd
Bartow, FL 33830-6735
Mailing address
1290 Golfview Ave
Attn: Billing Department
Bartow, FL 33830-6740
Phone (863) 519-7900
Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.