Maryellen Banker, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-045580-1 Issued in NY

Practice address

10 Kayleen Dr.
Windsor Counseling Group
New Windsor, NY 12553

Phone

(845) 565-6888

Fax

(845) 565-0142

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

State University of New York at Stony Brook, School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Orange Counseling Associates

  • Community/Behavioral Health Agency
  • Newburgh, NY
  • NPI 1235514019
  NPD (past)
• Windsor Counseling Group

  • Marriage & Family Therapist
  • New Windsor, NY
  • NPI 1295803997

  Clinical

  NPD (past)
• Windsor Counseling Group

  • Community/Behavioral Health Agency
  • Middletown, NY
  • NPI 1306239306
  NPD (past)

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1629472857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KAYLEEN DR.",
            "address_2": "WINDSOR COUNSELING GROUP",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-565-6888",
            "fax_number": "845-565-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KAYLEEN DR.",
            "address_2": "WINDSOR COUNSELING GROUP",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-565-6888",
            "fax_number": "845-565-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKER",
        "first_name": "MARYELLEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-045580-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ayala-Pappageorge, LMSW
• Francisco Ayaso, DPM
• Yvonne Newa Ayoki
• John William Baker II, PH.D.
• Amanda Bangari
• Cheryl Ann Barker, LCSWR
• Gail W. Barrack, LCSW,ACSW
• Emmanuel Barracoso
• Kristin M Barringer Rich, AUD
• Samantha Marie Barry

• Clinical Social Worker in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.