Active NPIIndividual provider

Mr. Roger Banther, LCSW

Social Worker, Clinical in Salem, Oregon

NPI Number1487907606
Practice location
1233 Edgewater St NW, Salem, OR 97304
Fax
503-480-1630
Last updated
July 16, 2024

Mr. Roger Banther, LCSW is a Social Worker, Clinical based in Salem, OR. Mr. Roger Banther, LCSW holds the professional credentials of LCSW. The NPI number for Mr. Roger Banther, LCSW is 1487907606 and holds license No. L7065 (OR). The current practice location address is 1233 Edgewater St NW, Salem, OR 97304 and the office can be reached by phone at 503-378-7526 and by fax at 503-480-1630. The NPI was assigned on October 25, 2012 and the record was last updated in NPPES on July 16, 2024.

●Provider Profile Details

NPI Number
1487907606
Provider Name
Roger Banther
Credential
LCSW
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Enumeration Date
October 25, 2012
Last Update Date
July 16, 2024
Certification Date
April 1, 2024
NPI Status
Active

◉Business Practice Location Address

Address
1233 Edgewater St NW
Salem, OR 97304
City
Salem
State
Oregon
ZIP
97304
Country
US
Phone Number
503-378-7526
Fax Number
503-480-1630

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✉Business Mailing Address

Address
3872 Ash Ave SE
Salem, OR 97302-4703
City
Salem
State
OR
ZIP
97302-4703
Phone Number
206-650-1543

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Social Worker, Clinical1041C0700XYesL7065OR

#Other Provider Identifiers

No legacy or other 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. Roger Banther, LCSW?

The NPI number of Mr. Roger Banther, LCSW is 1487907606. It was assigned on October 25, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Roger Banther, LCSW?

Mr. Roger Banther, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X) and holds license No. L7065 (OR).

Where does Mr. Roger Banther, LCSW practice?

The practice location is 1233 Edgewater St NW, Salem, OR 97304. The office can be reached at 503-378-7526 (phone) or 503-480-1630 (fax).

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 1487907606 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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