Active NPI
Julia C. del Balzo, LCSW, LLC
- Clinical Social Worker
- Ho Ho Kus, NJ
National Provider Identifier
1013487792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Catherine Tsakalis, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417346636 | Medicaid | NJ |
Other names 1
- Dynamic Heart Counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Ho Ho Kus, NJ
- NPI 1417346636
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.