| Rhoda Banks Lcsw Llc | |
|
246 Federal Rd Unit C-33 Brookfield CT 06804-2647 | |
| (203) 775-6269 | |
| (203) 740-7887 |
| Full Name | Rhoda Banks Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 246 Federal Rd, Brookfield, Connecticut |
| Authorized Official Name and Position | Rhoda Banks (SOCIAL WORKER) |
| Authorized Official Contact | 2037901664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhoda Banks Lcsw Llc 246 Federal Rd Unit C-33 Brookfield CT 06804-2647 Ph: (203) 775-6269 | Rhoda Banks Lcsw Llc 246 Federal Rd Unit C-33 Brookfield CT 06804-2647 Ph: (203) 775-6269 |
| NPI Number | 1184835670 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 05/04/2011 |
| Medicare PECOS PAC ID | 3678502531 |
|---|---|
| Medicare Enrollment ID | O20050810001096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184835670 | NPI | - | NPPES |
| 163042 | Other | CT | VALUEOPTIONS ID# |
| 004231601 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 004155 (Connecticut) | Primary |
| Provider Name | Rhoda Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285779694 PECOS PAC ID: 3678516424 Enrollment ID: I20050602001181 |
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