Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandria Banta, LISW-S

Individual provider Clinical Social Worker · NPI 1689241085

Alexandria Banta, LISW-S is a Clinical Social Worker in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

1120 Polaris Pkwy Ste 204
Columbus, OH 43240-4042
Phone: (859) 630-5219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.1901417-SUPV (OH)

Record details

NPI number1689241085
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedJune 6, 2021
Last updated in NPPESJune 6, 2021
Certification dateJune 6, 2021

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