Gina Balli, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00006114 Issued in WA

Practice address

4033 E Madison St
Suite 101
Seattle, WA 98112-3104

Phone

(206) 322-2222

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gina Balli Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wellspring Family Services

  • Case Management Agency
  • Seattle, WA
  • NPI 1093740573
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215090246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 E MADISON ST",
            "address_2": "SUITE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123104",
            "telephone_number": "206-322-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 E MADISON ST",
            "address_2": "SUITE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123104",
            "telephone_number": "206-322-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLI",
        "first_name": "GINA",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "BALLI",
            "credential": "M.S.W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phillip Ault Ballard Jr., MD
• Robert W. Ballard, MD
• Thomas Field Ballard, ND
• Carl Ballenger
• John Daniel Ballew, DO
• Elizabeth C Ballinger
• Kristen Joanne Ballinger, MD
• Rachelle Ballmer, LICSW
• James Lawrence Ballo, M.D.
• Ashley Ballyns, NP

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.