Elizabeth Ballard
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1679110324
StatusActive
Last updated in NPPESJan 7, 2020
Details
- NPI
- 1679110324
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elizabeth Ballard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2019
- Certification date
- Jan 7, 2020
- Last updated
- Jan 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 088386 | NY | Yes |
Practice location
138 W 25th St Fl 6New York, NY 10001-7474
Phone 615-496-3812
Mailing address
356 S 1st St Apt 23Brooklyn, NY 11211-4717
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