James Edward Ballenger in Fort Worth - Clinical

James Edward Ballenger - NPI 1730202466

James Edward Ballenger is a Clinical in Fort Worth, Texas. James Edward Ballenger practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Edward Ballenger is 1730202466. The last update date is 2012-06-13.

James Edward Ballenger's current location address is Po Box 331581, Fort Worth, Texas. You can contact this provider via phone number 8179758015 and fax number 8173619958. The mailing address for James Edward Ballenger is Po Box 331581, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name James Edward Ballenger
Address Po Box 331581, Fort Worth, Texas
Phone Number 8179758015
Fax Number 8173619958
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1730202466
Provider Enumeration Date 2007-04-09
Last Updated Date 2012-06-13

Provider Mailing Address Detail

Address Po Box 331581
City Fort Worth
State Texas (TX)
Post Code 761631581
Phone Number 8179758015
Fax Number 8173619958

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 23853
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1594087-01 TX --
159408703 TX --

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FAQs about James Edward Ballenger

What is the unique identifier code issued to James Edward Ballenger by the Centers for Medicare & Medicaid Services (CMS)?

The James Edward Ballenger has been assigned the NPI (National Provider Identifier) 1730202466. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where James Edward Ballenger is located?

The James Edward Ballenger is situated at the following address: Po Box 331581, Fort Worth, TX, 761631581.

What is James Edward Ballenger's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for James Edward Ballenger is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date was the 1730202466 assigned to James Edward Ballenger?

The James Edward Ballenger was issued its 1730202466 on 2007-04-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding James Edward Ballenger, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to James Edward Ballenger, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-06-13.

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