Individual provider Active NPI

Banta H. Whitner, LCSW

  • Clinical Social Worker
  • Black Mountain, NC
National Provider Identifier
1952325706
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007716 Issued in NC
Practice address
402 Montreat Rd.
Source for Well-Being
Black Mountain, NC 28711
Phone
(904) 612-3309
Fax
(904) 737-9369
NPI assigned
Jul 26, 2006
Last updated
Feb 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2295 FL
Clinical Social Worker 1041C0700X C007716 NC Primary
Clinical Social Worker 1041C0700X 0002295 FL

Addresses

Primary practice location

402 Montreat Rd.
Source for Well-Being
Black Mountain, NC 28711

Mailing address

151 NC Highway 9
Suite B
Black Mountain, NC 28711
Phone (904) 612-3309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0002295FLMDClinical Social Worker
2295FLMDClinical Social Worker
C007716NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1952325706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NC HIGHWAY 9",
            "address_2": "SUITE B",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "28711",
            "telephone_number": "904-612-3309",
            "fax_number": "904-737-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MONTREAT RD.",
            "address_2": "SOURCE FOR WELL-BEING",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "28711",
            "telephone_number": "904-612-3309",
            "fax_number": "904-737-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNER",
        "first_name": "BANTA",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "2295",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007716",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "0002295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.