NPI 1962787689 · live from the CMS NPI Registry
Tina Banks, PLMSW
Social Worker in Jacksonville, AR. National Provider Identifier 1962787689, active.
NPI record
| NPI | 1962787689 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 2411 W Main St, Jacksonville, AR 72076 |
| Practice phone | 501-982-5402 |
| Mailing address | Po Box 647, Jacksonville, AR 72078 |
| Enumerated | October 13, 2011 |
| Last updated | June 21, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | — |
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.