Individual provider Active NPI

Cary James Banka, LCSW

  • Clinical Social Worker
  • Portage, IN
National Provider Identifier
1972585255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004119A Issued in IN
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.

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 44 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302000785 IN Practitioner - Clinical Social Worker 8628259215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Porter-Starke Services Inc. CurrentSince Apr 1, 2018 Accepting new patients
Porter-Starke Services Inc. CurrentSince Apr 1, 2018 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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34004119A IN Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.