Provider Demographics
NPI:1710379490
Name:BANISTER, FRANK (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:BANISTER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MACY AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-3541
Mailing Address - Country:US
Mailing Address - Phone:914-948-2341
Mailing Address - Fax:801-999-5601
Practice Address - Street 1:18 MACY AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-3541
Practice Address - Country:US
Practice Address - Phone:914-948-2341
Practice Address - Fax:801-999-5601
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPO12455-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical