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MR. SCOTT M BANFORD LCSW
NPI 1336485465
Social Worker - Clinical in Fort Lee, NJ

Active since December 18, 2012PECOS EnrolledAccepts Medicare Assignment
1590 ANDERSON AVE, 12-K, FORT LEE, NJ 07024(201) 242-0221(201) 242-0221 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Scott M Banford Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SCOTT M BANFORD LCSW (NPI 1336485465) is an individual clinical provider in Fort Lee, New Jersey, licensed in New Jersey (44SC05010800) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1336485465
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SCOTT M BANFORDCredential: LCSW
Location Address1590 ANDERSON AVE, 12-KFort Lee, NJ 07024-2702
Mailing Address1590 Anderson Ave, 12-kFort Lee, NJ 07024-2702 · (201) 242-0221 · Fax (201) 242-0221
Phone(201) 242-0221
Fax(201) 242-0221
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 18, 2012
✔ NPI 1336485465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05010800
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1590 ANDERSON AVE, Fort Lee, NJ 07024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Scott M Banford Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961719778
PECOS Enrollment IDI20150910002693
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Scott Banford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellqor Psychological Services Northeast, PC
33 mi
Clinical
1001 RARITAN AVE
Highland Park, NJ 08904
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
NPI 1326442567 (732) 991-1540

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENDOCRINOLOGY AND DIABETES ASSOCIATES, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1590 ANDERSON AVE, 10 H
FORT LEE, NJ 07024
Bergen County (646) 245-2415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Banford's NPI number?

The NPI number for Scott Banford is 1336485465. It was assigned to this individual provider in the NPPES registry on December 18, 2012.

Where is Scott Banford located?

Scott Banford practices at 1590 Anderson Ave 12-K, Fort Lee, NJ 07024. The listed phone number is (201) 242-0221.

What is Scott Banford's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Scott Banford enrolled in Medicare?

Yes. Scott Banford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Scott Banford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Banford reassigns Medicare benefits to Wellqor Psychological Services Northeast, PC (Highland Park, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Banford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Banford accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Scott Banford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Banford was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.