Tara Banks, BSW
Individual provider Active NPI Social Worker · Port Gibson, MS
NPI 1760040547 · NPPES record last updated Jun 5, 2019
Key facts
- NPI
- 1760040547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 306 Church St
Port Gibson, MS 39150-2108 - Phone
- (601) 437-5504
- Fax
- (601) 437-5505
- NPI assigned
- Jun 5, 2019
- 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
306 Church St
Port Gibson, MS 39150-2108
Mailing address
306 Church St
Port Gibson, MS 39150-2108
Phone (601) 437-5504
Other providers in Port Gibson, MS
- At Home Care
- At Home Care Community Outreach Inc.
- At Home Care, Inc
- At Home Care, Inc.
- At Home Medical Supply
- Yamonti Banks
- Keith D Bishop
- Angel Brinner
- Clare Nelson Burnett
- Kimberly Janell Carson
All providers in Port Gibson, MS · Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2019. 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.