Active NPIIndividual provider

Mr. Long G Banh, LCSW, MSW

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1538334503
Practice location
1115 W Chestnut St, Brockton, MA 02301-7501
Fax
—
Last updated
August 10, 2011

Long Gia Banh is a Social Worker, Clinical based in Brockton, MA. Long Gia Banh practices in Brockton, MA and has the professional credentials of LCSW, MSW. The NPI Number for Long Gia Banh is 1538334503 and holds a License No. 23682 (CA). The current practice location address for Long Gia Banh is 1115 W Chestnut St, Brockton, MA 02301-7501 and can be reached out via phone at 978-453-6800.

Provider Profile Details

NPI Number
1538334503
Provider Name
Long Gia Banh
Credential
LCSW, MSW
Provider Entity Type
Individual
Gender
Male
Address
1115 W Chestnut St, Brockton, MA 02301-7501
Phone Number
978-453-6800
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2008
Last Update Date
August 10, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1115 W Chestnut St
Brockton, MA 02301-7501
Zip
02301-7501
Phone Number
978-453-6800
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
Po Box 9691
Lowell, MA 01853-9691
City
Lowell
State
MA
Zip
01853-9691

License Information

License Number (1)
23682
License State (1)
CA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
215938
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Long G Banh, LCSW, MSW?

The NPI number of Mr. Long G Banh, LCSW, MSW is 1538334503. It was assigned on April 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Long G Banh, LCSW, MSW?

Mr. Long G Banh, LCSW, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CA under license number 23682.

Where does Mr. Long G Banh, LCSW, MSW practice?

The practice location is 1115 W Chestnut St, Brockton, MA 02301-7501. The office can be reached at 978-453-6800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538334503 directly on the NPPES registry website.

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