Organization Active NPI

Julia C. del Balzo, LCSW, LLC

  • Clinical Social Worker
  • Ho Ho Kus, NJ
National Provider Identifier
1013487792
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JULIA C. DEL BALZO, LCSW, LLC
Practice address
18 Sycamore Ave Ste 2
Ho Ho Kus, NJ 07423-1500
Phone
(201) 540-8826
NPI assigned
Nov 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Julia Catherine Tsakalis, LCSWNPI 1417346636
Title
Owner
Phone
(201) 540-8826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

18 Sycamore Ave Ste 2
Ho Ho Kus, NJ 07423-1500

Mailing address

18 Sycamore Ave Ste 2
Ho Ho Kus, NJ 07423-1500
Phone (201) 540-8826

Other identifiers 1

IdentifierTypeStateIssuer
1417346636MedicaidNJ

Other names 1

  • Dynamic Heart Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1013487792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE STE 2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231500",
            "telephone_number": "201-540-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE STE 2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231500",
            "telephone_number": "201-540-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA C. DEL BALZO, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TSAKALIS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-540-8826",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417346636",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Heart Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ho Ho Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.