Wellformed AI

NPI 1619364288 · live from the CMS NPI Registry

Mary Banks, LCSW

Social Worker in Batesville, AR. National Provider Identifier 1619364288, active.

NPI record

NPI1619364288 Type 1 · individual
StatusActive
Primary specialtySocial Worker 104100000X
Practice location235 S 3rd St, Batesville, AR 72501
Practice phone870-799-4325
EnumeratedApril 22, 2015
Last updatedOctober 8, 2024
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X8795-C (AR)
Social Worker primary104100000X8795-C (AR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.