Individual provider Active NPI

Denise Janelle Bankston, MSW

  • Social Worker
  • Warner Robins, GA
National Provider Identifier
1881256949
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
109 Osigian Blvd Ste 300
Warner Robins, GA 31088-8924
Phone
(478) 333-2411
NPI assigned
Jun 28, 2019
Last updated
Jun 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

109 Osigian Blvd Ste 300
Warner Robins, GA 31088-8924

Mailing address

206 Rustic Live Oak TRL
Bonaire, GA 31005-4230
Phone (229) 583-3385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20220510001184 GA Practitioner - Clinical Social Worker 3971980137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Resolutions Group, LLCGroup PAC ID 1052736121, 2 clinicians

Practice addresses (Care Compare)

4116 Arkwright Rd
Suite 1
Macon, GA 31210-1707
Phone (478) 333-2411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008043GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Resolutions Group, LLC CurrentSince May 2, 2022 Accepting new patients

Locations

4116 Arkwright Rd
#1
Macon, GA 31210
Phone (478) 216-5534

109 Osigian Blvd
Ste 300
Warner Robins, GA 31088
Phone (478) 333-2430

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1881256949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 RUSTIC LIVE OAK TRL",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310054230",
            "telephone_number": "229-583-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OSIGIAN BLVD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888924",
            "telephone_number": "478-333-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKSTON",
        "first_name": "DENISE",
        "middle_name": "JANELLE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.