Active NPI
Avonne M Ball, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1275731218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11092
- Practice address
- 4101 Hayward Ave
Baltimore, MD 21215-4304 - Phone
- (410) 215-9097
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11092 | MD | Primary |
Addresses
Primary practice location
4101 Hayward Ave
Baltimore, MD 21215-4304
Mailing address
4101 Hayward Ave
Baltimore, MD 21215-4304
Phone (410) 215-9097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11092 | Other | MD | MD DEPT. OF HEALTH AND ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11092 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1275731218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 HAYWARD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212154304",
"telephone_number": "410-215-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 HAYWARD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212154304",
"telephone_number": "410-215-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "AVONNE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD DEPT. OF HEALTH AND ME",
"identifier": "11092",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.