Jamonte Banks, LCSW

Individual provider Active NPI Clinical Social Worker · Haslet, TX

NPI 1699569442 · NPPES record last updated Apr 7, 2025

Key facts

NPI
1699569442
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
104668 (TX)
Practice address
413 Landing Ridge Dr Apt 1034
Haslet, TX 76052-1059
Phone
(757) 394-2278
NPI assigned
Apr 7, 2025
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
104668TXMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104668 TX Yes

Addresses

Primary practice location

413 Landing Ridge Dr Apt 1034
Haslet, TX 76052-1059

Mailing address

413 Landing Ridge Dr Apt 1034
Haslet, TX 76052-1059

Other providers in Haslet, TX

All providers in Haslet, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.