Robert E Banta, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

362807-3501 Issued in UT

Practice address

9160 S 300 W
Suite 22
Sandy, UT 84070-2655

Phone

(801) 716-0440

Fax

(801) 208-1011

NPI assigned

May 6, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1609000561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 S 300 W",
            "address_2": "SUITE 22",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702655",
            "telephone_number": "801-716-0440",
            "fax_number": "801-208-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 S 300 W",
            "address_2": "SUITE 22",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702655",
            "telephone_number": "801-716-0440",
            "fax_number": "801-208-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTA",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "362807-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray Baker
• Margaret M Baldwin, PA
• Ryan Ballard
• Hannah Bambrough
• Madison Banbury, DPT
• John Patrick Barbuto, MD
• Sarah Bardsley
• Matthew James Barila
• Shadrach Barlow
• Scott Ronald Barnes, OD

• Clinical Social Worker in Sandy, UT
• Providers in Sandy, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.