Individual provider · NPI-1

David Ballam

Social Worker, Clinical · Woodland Hills, CA

NPI number1588481998
StatusActive
Last updated in NPPESApr 2, 2026

Details

NPI
1588481998
Entity type
Individual (NPI-1)
Name
David Ballam
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 25, 2024
Certification date
Apr 2, 2026
Last updated
Apr 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalASW133501CAYes

Practice location

6022 Variel Ave
Woodland Hills, CA 91367-3719

Phone 818-996-1051

Mailing address

10821 Blix St Apt 201
North Hollywood, CA 91602-3805

Phone 818-809-7008

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