Active NPI
Jennifer Banks
- School Social Worker
- East Moriches, NY
National Provider Identifier
1871372938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 093673-01
- Practice address
- 17 Woodbine LN
East Moriches, NY 11940-1415 - Phone
- (631) 766-5297
- NPI assigned
- Sep 27, 2023
- Last updated
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 093673-01 | NY | Primary |
Addresses
Primary practice location
17 Woodbine LN
East Moriches, NY 11940-1415
Mailing address
17 Woodbine LN
East Moriches, NY 11940-1415
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
| License | State | Type | Specialty |
|---|---|---|---|
| 093673-01 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1871372938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WOODBINE LN",
"city": "EAST MORICHES",
"state": "NY",
"postal_code": "119401415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WOODBINE LN",
"city": "EAST MORICHES",
"state": "NY",
"postal_code": "119401415",
"telephone_number": "631-766-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "093673-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Moriches, NY
- Diana Lucy Aldea, M.D.
- Alexander M. Piekarski, PH.D.,Psychologist, P.C.
- Hanna Felisha Ali
- All Star Physical Therapy and Rehabilition P.C.
- Ambulance Committee of the Moriches, Inc
- Barths of East Moriches Inc (Barths East Moriches)
- Beach Physical Therapy, PC
- Patricia Beaujuin
- Pamela A Blake, PH.D.
- Samantha Bonello
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.