Cary James Banka is a Clinical in Portage, Indiana. Cary James Banka practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cary James Banka is 1972585255. The last update date is 2007-07-08.
Cary James Banka's current location address is 3349 Willowcreek Rd, Portage, Indiana. You can contact this provider via phone number 2197629557 and fax number 2197627318. The mailing address for Cary James Banka is 3349 Willowcreek Rd, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cary James Banka |
|---|---|
| Address | 3349 Willowcreek Rd, Portage, Indiana |
| Phone Number | 2197629557 |
| Fax Number | 2197627318 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1972585255 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3349 Willowcreek Rd |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 463685015 |
| Phone Number | 2197629557 |
| Fax Number | 2197627318 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004119A |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Cary James Banka by the Centers for Medicare & Medicaid Services?
The Cary James Banka has been issued the NPI (National Provider Identifier) 1972585255 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Cary James Banka is geographically located?
The Cary James Banka is physically situated at the following location: 3349 Willowcreek Rd, Portage, IN, 463685015.
What is Cary James Banka's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cary James Banka's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Cary James Banka's 1972585255 issued?
The Cary James Banka's 1972585255 was issued on 2005-11-14.
When was the Cary James Banka's information last updated?
The Cary James Banka's information was last updated on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH