Christina Maria Ballard, LCSW
Individual provider Active NPI Clinical Social Worker · Sauquoit, NY
NPI 1124397120 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1124397120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 082328 (NY)
- Practice address
- 2675 Oneida St
Sauquoit, NY 13456-3209 - Phone
- (315) 404-4223
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14796 | CT | MD | Clinical Social Worker |
| 082328 | NY | MD | Clinical Social Worker |
| 077672 | NY | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14796 | CT | |
| School Social Worker | 1041S0200X | 077672 | NY | |
| Clinical Social Worker | 1041C0700X | 082328 | NY | Yes |
Addresses
Primary practice location
2675 Oneida St
Sauquoit, NY 13456-3209
Mailing address
2675 Oneida St
Sauquoit, NY 13456-3209
Phone (315) 404-4223
Other names
- Christina Maria Colon
Other providers in Sauquoit, NY
All providers in Sauquoit, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.