Active NPI
Cary James Banka, LCSW
- Clinical Social Worker
- Portage, IN
National Provider Identifier
1972585255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004119A
- Practice address
- 3349 Willowcreek Rd
Portage, IN 46368-5015 - Phone
- (219) 762-9557
- Fax
- (219) 762-7318
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valparaiso, IN
- NPI 1689627598
IN
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1659196236
-
- Federally Qualified Health Center (FQHC)
- Gary, IN
- NPI 1003371220
-
- Psychiatric Hospital
- Valparaiso, IN
- NPI 1497807572
-
- Federally Qualified Health Center (FQHC)
- Gary, IN
- NPI 1023485356
-
- Federally Qualified Health Center (FQHC)
- Gary, IN
- NPI 1194473595
-
- Federally Qualified Health Center (FQHC)
- Portage, IN
- NPI 1588301899
-
- Federally Qualified Health Center (FQHC)
- Hebron, IN
- NPI 1447815758
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Porter-Starke Services Inc
Practice addresses (Care Compare)
601 Wall St
Valparaiso, IN 46383-2512
Phone (574) 772-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110302000785 | IN | Practitioner - Clinical Social Worker | 8628259215 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter-Starke Services Inc. | Current | Accepting new patients | |
| Porter-Starke Services Inc. | Current | Accepting new patients |
Locations
3176 Lancer St
Ste B
Portage, IN 46368
Phone (219) 806-3000
3176 Lancer St
Portage, IN 46368
Phone (219) 762-7318
3349 Willowcreek Rd
Portage, IN 46368
Phone (219) 762-7318
601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004119A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3349 Willowcreek Rd
Portage, IN 46368-5015
Mailing address
8123 Kooy Dr
Munster, IN 46321-1841
Phone (219) 513-0641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972585255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8123 KOOY DR",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211841",
"telephone_number": "219-513-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3349 WILLOWCREEK RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685015",
"telephone_number": "219-762-9557",
"fax_number": "219-762-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKA",
"first_name": "CARY",
"middle_name": "JAMES",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004119A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.