Provider Demographics
NPI:1144386210
Name:DANKS, RICHARD B (MSW)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:B
Last Name:DANKS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ROCKRIMMON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03862-2338
Mailing Address - Country:US
Mailing Address - Phone:800-617-1003
Mailing Address - Fax:603-964-4188
Practice Address - Street 1:1 PARK AVE
Practice Address - Street 2:SUITE 6G
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2113
Practice Address - Country:US
Practice Address - Phone:800-617-1003
Practice Address - Fax:603-964-4188
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1006251041C0700X
NH1131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME046844OtherBLUE CROSSBLUE SHIELD PPO
NH14Z046844NHOtherBLUE CROSSBLUE SHIELD PPO
NH58589OtherUNITED BEHAVIORAL HEALTH
NH204975OtherVALUEOPTIONS
NH30007736Medicaid
NH5380733OtherAETNA INSURANCE CO.