NPIMap

Individual provider Active NPI

Elizabeth H Ball, LCSW

  • Clinical Social Worker
  • Cross Plains, TN
National Provider Identifier
1013290394
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18056 Issued in TX
Practice address
4575 Yates Rd # 101
Cross Plains, TN 37049-4845
Phone
(210) 360-0303
Fax
(210) 615-5721
NPI assigned
Sep 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 256005 KY
Clinical Social Worker 1041C0700X 6272 TN
Clinical Social Worker 1041C0700X 18056 TX Primary

Addresses

Primary practice location

4575 Yates Rd # 101
Cross Plains, TN 37049-4845

Mailing address

4575 Yates Rd
Cross Plains, TN 37049-4845
Phone (210) 360-0303

Other identifiers 2

IdentifierTypeStateIssuer
06272OtherTNCLINICAL SOCIAL WORK LICENSE
285038002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211011002320 KY Practitioner - Clinical Social Worker 4284807884 Reassigns benefits to 1 organization
I20260312000678 IA Practitioner - Clinical Social Worker 4284807884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians
Eastern Iowa Health CenterGroup PAC ID 0648364828, 23 clinicians

Practice addresses (Care Compare)

105 Keeton Dr
Hopkinsville, KY 42240-8756
Phone (270) 887-6565

1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300

1225 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256005KYMDClinical Social Worker
18056TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Eastern Iowa Health Center CurrentSince Feb 1, 2026 Accepting new patients
Jennie Stuart Medical Center Inc Current Accepting new patients
Jennie Stuart Medical Center Inc Clinical CurrentSince Dec 5, 2022 Accepting new patients
Eastern Iowa Health Center CurrentSince Feb 1, 2026 Accepting new patients

Locations

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

105 Keeton Dr
Hopkinsville, KY 42240
Phone (270) 887-6565

222 W 18th St
Hopkinsville, KY 42240
Phone (270) 886-3962

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1013290394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 YATES RD",
            "city": "CROSS PLAINS",
            "state": "TN",
            "postal_code": "370494845",
            "telephone_number": "210-360-0303",
            "fax_number": "210-922-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 YATES RD # 101",
            "city": "CROSS PLAINS",
            "state": "TN",
            "postal_code": "370494845",
            "telephone_number": "210-360-0303",
            "fax_number": "210-615-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256005",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6272",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "18056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORK LICENSE",
            "identifier": "06272",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285038002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross Plains, TN

Sources for this page

Verify at the official NPI Registry.