Provider Demographics
NPI:1356889943
Name:BANKS, MARGARET (LCSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:BANKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6064 MINGLE DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-6235
Mailing Address - Country:US
Mailing Address - Phone:901-489-5702
Mailing Address - Fax:901-545-2241
Practice Address - Street 1:6064 MINGLE DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-6235
Practice Address - Country:US
Practice Address - Phone:901-482-9405
Practice Address - Fax:901-842-2373
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD303261041C0700X
TN71001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical