Active NPI
Katrina Louise Balovlenkov, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1013208784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16828
- Practice address
- 9017 Red Branch Rd
Suite 204
Columbia, MD 21045-2106 - Phone
- (410) 730-4500
- NPI assigned
- Apr 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16828 | MD | Primary |
Addresses
Primary practice location
9017 Red Branch Rd
Suite 204
Columbia, MD 21045-2106
Mailing address
9017 Red Branch Rd
Suite 204
Columbia, MD 21045-2106
Phone (410) 730-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16828 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Better Way Counseling Services | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Columbia, MD
- NPI 1063635183
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1013208784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9017 RED BRANCH RD",
"address_2": "SUITE 204",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452106",
"telephone_number": "410-730-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9017 RED BRANCH RD",
"address_2": "SUITE 204",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452106",
"telephone_number": "410-730-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALOVLENKOV",
"first_name": "KATRINA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.