Dianna F. Banks, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113037 Issued in MA

Practice address

2 Columbia Rd
Ste 12
Pembroke, MA 02359-1842

Phone

(781) 925-2423

Fax

(781) 925-2650

NPI assigned

Nov 13, 2006

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

Medicare fee-for-service enrollment

Enrolled in MA

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

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 and National Provider Directory roles.

• Somerville Mental Health Association, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Somerville, MA
  • NPI 1578674289
  NPD (past)
• Somerville Mental Health Association, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Somerville, MA
  • NPI 1871765644
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1639240427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHEPARD AVE",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023593417",
            "telephone_number": "781-588-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA RD",
            "address_2": "STE 12",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591842",
            "telephone_number": "781-925-2423",
            "fax_number": "781-925-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "DIANNA",
        "middle_name": "F.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meliha Avdic-Bajramovic, FNP-C
• Klea Avrami, PA-C
• Back2Health
• Meghan Mahoney Baker
• Brian Stephen Banks, PMHNP-BC
• Melanie Laurelle Bazillion, LADC 2
• Katie Bean
• Sandra M Beaton, M.S., BCBA, LABA
• Benedict Therapeutic Counseling LLC
• Kristin Marie Bennett, M.S.

• Clinical Social Worker in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.