Individual provider Active NPI

Jo-Anne Ballard

  • Clinical Social Worker
  • Brandon, FL
National Provider Identifier
1265109649
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18751 Issued in FL
Practice address
130 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone
(813) 444-8760
NPI assigned
Aug 24, 2021
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW18751 FL Primary

Addresses

Primary practice location

130 E Bloomingdale Ave
Brandon, FL 33511-8101

Mailing address

130 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone (813) 444-8760

Other practice location 1

1802 N Armenia Ave
Tampa, FL 33607-3406
Phone (813) 444-8760

Other practice location 2

500 Vonderburg Dr Ste 306
Brandon, FL 33511-5976
Phone (813) 444-8760

Other practice location 3

13308 Winding Oak Ct
Tampa, FL 33612-3454
Phone (813) 444-8760

Other practice location 4

5245 Office Park Blvd
Bradenton, FL 34203-3444
Phone (813) 444-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403003020 FL Practitioner - Clinical Social Worker 8426496977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Florida College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Monica Lake, PLLCGroup PAC ID 7113357286, 5 clinicians

Practice addresses (Care Compare)

130 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone (813) 444-8760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW18751FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lake and Associates Clinical PastSince Aug 29, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1265109649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-444-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-444-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336073406",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Vonderburg Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115976",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13308 Winding Oak Ct",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123454",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5245 Office Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342033444",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "JO-ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.