Katrina Louise Balovlenkov, LCSW-C
Social Worker, Clinical in Columbia, MD. Individual provider (NPI-1).
NPI number1013208784
StatusActive
Last updated in NPPESJul 21, 2011
Details
- NPI
- 1013208784
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katrina Louise Balovlenkov
- Credential
- LCSW-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 28, 2011
- Last updated
- Jul 21, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 16828 | MD | Yes |
Practice location
9017 Red Branch RdSuite 204
Columbia, MD 21045-2106
Phone 410-730-4500
Mailing address
9017 Red Branch RdSuite 204
Columbia, MD 21045-2106
Phone 410-730-4500
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