NPI 1568024032 · live from the CMS NPI Registry
Frederica Mabel Banning
Social Worker, Clinical in Honolulu, HI. National Provider Identifier 1568024032, active.
NPI record
| NPI | 1568024032 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3431 Campbell Ave Apt A, Honolulu, HI 96815 |
| Practice phone | 808-436-1652 |
| Enumerated | July 3, 2019 |
| Last updated | July 3, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 0904000745 (VA) |
| Social Worker, Clinical primary | 1041C0700X | LCSW-4400 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.