Lequandra Raniece Hale-Banks, LCSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6538 Issued in TN

Practice address

3721 Riverdale Rd
Memphis, TN 38115

Phone

(901) 334-3144

Fax

(901) 334-3145

NPI assigned

Feb 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• New Image Wellness

  • Professional Counselor
  • Memphis, TN
  • NPI 1407231269
  NPD (past)
• Nspyred Preventive Solutions, LLC

  • Clinic/Center
  • Memphis, TN
  • NPI 1699267260
  NPD (past)

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

{
    "created_epoch": "1361577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1811237134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 SUDBURY LN APT 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153335",
            "telephone_number": "901-612-4359",
            "fax_number": "888-721-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 RIVERDALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38115",
            "telephone_number": "901-334-3144",
            "fax_number": "901-334-3145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6118 Sudbury Ln Apt 202",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381153335",
            "country_code": "US",
            "telephone_number": "901-612-4359",
            "fax_number": "888-721-4071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE-BANKS",
        "first_name": "LEQUANDRA",
        "middle_name": "RANIECE",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-23",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "006115",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q046933",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003151522A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q063320281",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "halebanks@uwalumni.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3721 Riverdale Rd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "38115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Showkat A. Haji, M.D.
• Houssam Saleh Hajj Houssein, PHARM.D
• Hana Hakim, MD
• Abdullah Hakoun, MD
• Hadeel Halalsheh, MD
• Daniel Alan Hale, M.D.
• Elisabeth F Hale, CRNA
• George Hale, M.A.
• Jennifer Hale, OTR/L
• Joseph Hale, DDS

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.