Mr Andrae Banks, MSW, LCSW is a
Social Worker - Clinical based in Durham, North Carolina. Mr Andrae Banks is licensed to practice in North Carolina (license number C007846) and his current practice location is
3622 Colchester St, Durham, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(919) 213-1467.
NPI number for Mr Andrae Banks is 1073820866 and his current mailing address is 3622 Colchester St, Durham, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073820866.
Healthcare Provider's Profile
| Full Name | Mr Andrae Banks |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3622 Colchester St, Durham, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073820866
- Provider Enumeration Date: 09/01/2010
- Last Update Date: 03/08/2016
Medical Identifiers
Medical identifiers for Mr Andrae Banks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073820866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | P005950 (North Carolina) | Secondary |
| 104100000X | Social Worker | P005950 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P005950 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C007846 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Andrae Banks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Andrae Banks, MSW, LCSW
3622 Colchester St,
Durham, NC 27707-4563
Ph: () - | Mr Andrae Banks, MSW, LCSW
3622 Colchester St,
Durham, NC 27707-4563
Ph: (919) 213-1467 |
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