Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATT BANNISTER
ActiveMATT BANNISTER is a School Social Worker healthcare provider located in CALDWELL, Idaho. NPI 1457219842 is currently active in the NPPES registry. Verify at CMS.
School Social Worker · CALDWELL, ID
Registration Details
- NPI Number
- 1457219842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2026 (0.59549554971585 yrs)
- Last Updated
- Jan 13, 2026
- License
-
2371596 (ID)
Practice Information
- Address
-
206 E ELM STCALDWELL, ID, 836054815Browse ID providers · Browse ZIP 83605
- Phone
- 2084548389
- Fax
- 9512646365
- Primary Specialty
-
School Social Worker
1041S0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.