Susan J. Ballard in West Springfield - Clinical
Susan J. Ballard - NPI 1144359456
Susan J. Ballard is a Clinical in West Springfield, Massachusetts. Susan J. Ballard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan J. Ballard is 1144359456. The last update date is 2007-07-08.
Susan J. Ballard's current location address is 28 Poplar Ave, West Springfield, Massachusetts. You can contact this provider via phone number 4132313094 and fax number 4134551265. The mailing address for Susan J. Ballard is 28 Poplar Ave, West Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J. Ballard |
|---|---|
| Address | 28 Poplar Ave, West Springfield, Massachusetts |
| Phone Number | 4132313094 |
| Fax Number | 4134551265 |
| Sole Proprietor | Y |
| Credentials | L.I.C.S.W. |
NPI Number Detail
| NPI Number | 1144359456 |
|---|---|
| Provider Enumeration Date | 2007-03-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 28 Poplar Ave |
|---|---|
| City | West Springfield |
| State | Massachusetts (MA) |
| Post Code | 10892925 |
| Phone Number | 4132313094 |
| Fax Number | 4134551265 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 113142 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11241180 | MA | CAQH PROVIDER ID | |
| 403426 | MA | MAGELLAN PROVIDER ID | |
| 3248367 | CT | AETNA PROVIDER ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susan J. Ballard by the Centers for Medicare & Medicaid Services?
The Susan J. Ballard has been assigned the NPI (National Provider Identifier) 1144359456 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Susan J. Ballard?
The Susan J. Ballard is physically situated at 28 Poplar Ave, in the city of West Springfield, state of MA, with the postal code 10892925.
What is Susan J. Ballard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan J. Ballard's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Susan J. Ballard's 1144359456 issued?
The Susan J. Ballard's 1144359456 was issued on 2007-03-04.
As of what date were the details pertaining to Susan J. Ballard last refreshed?
The information related to the Susan J. Ballard, including its address, specialty, and other relevant details, was last updated on 2007-07-08.