Individual provider Active NPI

Gilbert E Banks, MSW

  • Clinical Social Worker
  • Bremerton, WA
National Provider Identifier
1780739797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW00004796 Issued in WA
Practice address
900 Sheridan Rd
Suite 106
Bremerton, WA 98310-2701
Phone
(360) 415-5866
Fax
(360) 415-5886
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW00004796 WA Primary

Addresses

Primary practice location

900 Sheridan Rd
Suite 106
Bremerton, WA 98310-2701

Mailing address

5455 Almira Dr SE
Bremerton, WA 98311-8330
Phone (360) 373-5031

Other identifiers 1

IdentifierTypeStateIssuer
A052OtherWATRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20201209000399 WA Practitioner - Clinical Social Worker 8820400245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW00004796WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Mental Health Services CurrentSince Sep 23, 2020 Accepting new patients

Locations

900 Sheridan Rd
Ste 106
Bremerton, WA 98310
Phone (360) 415-3866

5455 Almira Dr NE
Bremerton, WA 98311
Phone (360) 373-5031

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780739797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 ALMIRA DR SE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983118330",
            "telephone_number": "360-373-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SHERIDAN RD",
            "address_2": "SUITE 106",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102701",
            "telephone_number": "360-415-5866",
            "fax_number": "360-415-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "GILBERT",
        "middle_name": "E",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SW00004796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A052",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.