Jarrod L Balmer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020086 Issued in PA

Practice address

5615 Lebanon Ave
Philadelphia, PA 19131-3126

Phone

(215) 857-8055

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Okan Wellness LLC

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1346860707
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1043097512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 LEBANON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 LEBANON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313126",
            "telephone_number": "215-857-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALMER",
        "first_name": "JARROD",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasshenia Bernice Ballow, M.P.T.
• Varalakshmi Ballur Narayana Reddy, M.D
• Joshua Sebastian Ballway, MD
• Bally Body & Soul Therapy
• Balm Hands Home Care LLC
• Balmont Family Practice Group P.C. (Balmont Family Practice)
• Zubair W Baloch, MD
• Douglas Balogun
• Evelyn Kemi Balogun, MD,MPH
• Oluwanifemi Tolulase Balogun, MD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.