Individual provider Active NPI

Johanna Nicole Banks, PLCSW

  • Clinical Social Worker
  • Huntersville, NC
National Provider Identifier
1821386160
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P005450 Issued in NC
Practice address
10225 Hickorywood Hill Ave Ste B
Huntersville, NC 28078-3431
Phone
(704) 657-9217
NPI assigned
Jul 20, 2011
Last updated
Jul 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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 P005450 NC Primary

Addresses

Primary practice location

10225 Hickorywood Hill Ave Ste B
Huntersville, NC 28078-3431

Mailing address

10936 Sand River CT
Davidson, NC 28036-9512
Phone (704) 657-9217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P005450NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1821386160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10936 SAND RIVER CT",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369512",
            "telephone_number": "704-657-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 HICKORYWOOD HILL AVE STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783431",
            "telephone_number": "704-657-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "JOHANNA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PLCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P005450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.