Individual provider Active NPI

Helen E Banta, CSW

  • Clinical Social Worker
  • Deerfield Beach, FL
National Provider Identifier
1902079890
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 5445 Issued in FL
Practice address
805 E Hillsboro Blvd
102
Deerfield Beach, FL 33441-3521
Phone
(561) 302-4923
Fax
(561) 732-1686
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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 SW 5445 FL Primary

Addresses

Primary practice location

805 E Hillsboro Blvd
102
Deerfield Beach, FL 33441-3521

Mailing address

805 E Hillsboro Blvd
102
Deerfield Beach, FL 33441-3521
Phone (561) 302-4923

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 5445FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1902079890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E HILLSBORO BLVD",
            "address_2": "102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413521",
            "telephone_number": "561-302-4923",
            "fax_number": "561-732-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E HILLSBORO BLVD",
            "address_2": "102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413521",
            "telephone_number": "561-302-4923",
            "fax_number": "561-732-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTA",
        "first_name": "HELEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.