Provider Demographics
NPI:1013019199
Name:BANKS, DAPHNEE (LCSW LISW)
Entity Type:Individual
Prefix:
First Name:DAPHNEE
Middle Name:
Last Name:BANKS
Suffix:
Gender:F
Credentials:LCSW LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 BROAD STREET
Mailing Address - Street 2:1337
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-530-8483
Mailing Address - Fax:732-530-1709
Practice Address - Street 1:48 BROAD STREET
Practice Address - Street 2:1337
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-530-8483
Practice Address - Fax:732-530-1709
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC028221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical