Rekha Miriam Banerjee, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27220 Issued in MN

Practice address

1113 E Franklin Ave Ste 202
Minneapolis, MN 55404-2977

Phone

(612) 843-6824

NPI assigned

Apr 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1891374807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042977",
            "telephone_number": "612-843-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042977",
            "telephone_number": "612-843-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "REKHA",
        "middle_name": "MIRIAM",
        "credential": "LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302853",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinesh Bande, M.D.
• Matt Bander
• Sumedha Reddy Bandi, DO
• David Robert Bane, D.O.
• Claire Banerjee, LICSW
• Tanushree Somir Banerjee, M.B.B.S, D.N.B
• Jodi L Bangert, PA
• Stephen Bangh
• Elizabeth Ann Bangle, RN
• Yaria Isabella Bangura

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.