Nichole Mayweather-Banks | Windsor, CT • PECOS Search

Nichole Mayweather-Banks

Social Worker

Behavioral Health & Social Service Providers

853 Palisado Ave, Windsor, CT 06095-5118

PECOS Enrollment

Based on the most recent information from CMS, provider Nichole Mayweather-Banks does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1578196739
Provider Type
Individual
Full Name
Mayweather-Banks, Nichole
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
2/17/2020
Last Updated
12/12/2023

Contact Information

Practice Location

853 Palisado Ave, Windsor, CT 06095-5118

(860) 650-0655

Mailing Location

853 Palisado Ave, Windsor, CT 06095-5118

(860) 650-0655

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 10941 Connecticut