KRISTIE BANE — NPI 1083840235 (Licensed & Credentialed Social Worker in PACOIMA, CA)

CMS-1500 Box 24J / 33a • NPI

1083840235

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

104100000X

Licensed & Credentialed Social Worker

Box 32 Service Location & ZIP+4

12510 VAN NUYS BLVD STE 201, PACOIMA, CA, 91331-6732

✓ 9-Digit EDI 837 ZIP+4 (91331-6732)

Practice Phone & Referral Fax

(626) 395-7100

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1083840235 (KRISTIE BANE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1083840235` (NPI-1 Individual Practitioner)
Provider / Legal Name	KRISTIE BANE
Plain-English Specialty	Licensed & Credentialed Social Worker NUCC Code: `104100000X` (Social Worker)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	12510 VAN NUYS BLVD STE 201, PACOIMA, CA, 91331-6732
Practice Telephone / Fax	Tel: (626) 395-7100
Administrative Mailing Address	12510 VAN NUYS BLVD STE 201, PACOIMA, CA, 91331-6732
Enumeration & Last Sync	Enumerated: 2009-06-02 \| CMS Record Updated: 2026-11-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12510 VAN NUYS BLVD STE 201, PACOIMA, CA, 91331-6732

🗺️ Open in Google Maps 🏥 More Providers in PACOIMA

🔒 Are you KRISTIE BANE? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (104100000X)

What Does Taxonomy Code 104100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 104100000X translates to:
"Licensed & Credentialed Social Worker"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KRISTIE BANE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: CA \| License: `ASW96765` \| Primary: Secondary
`104100000X` — Social Worker Plain English: Licensed & Credentialed Social Worker	State: CA \| License: `96765` \| Primary: Secondary
`104100000X` — Social Worker Plain English: Licensed & Credentialed Social Worker	State: CA \| License: `143515` \| Primary: Yes (Primary)
`225400000X` — Rehabilitation Practitioner Plain English: Licensed & Credentialed Rehabilitation Practitioner	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

KRISTIE BANE (NPI #1083840235)