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

Mr. Chase Todd Bannister, MDIVMSWLCSWCEDS

Individual provider Clinical Social Worker · NPI 1386805315

Mr. Chase Todd Bannister, MDIVMSWLCSWCEDS is a Clinical Social Worker in Durham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008

Practice location Address checks out

817 Broad St
Durham, NC 27705-4137
Phone: (202) 670-5125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C006086 (NC)

Record details

NPI number1386805315
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIVMSWLCSWCEDS
Sole proprietorYes
NPI enumeratedJune 23, 2008
Last updated in NPPESJuly 21, 2022

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