Mary Elizabeth Ballard, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12696 Issued in FL

Practice address

2898 Mahan Drive -
Suite 5
Tallahassee, FL 32308-5462

Phone

(850) 552-0691

Fax

(850) 656-8969

NPI assigned

Jan 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Holly Schilling

  • Clinical Psychologist
  • Tallahassee, FL
  • NPI 1598295560
  NPD (past)

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

{
    "created_epoch": "1293926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1295039493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 MAHAN DRIVE -",
            "address_2": "SUITE 5",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085462",
            "telephone_number": "850-552-0691",
            "fax_number": "850-656-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 MAHAN DRIVE -",
            "address_2": "SUITE 5",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085462",
            "telephone_number": "850-552-0691",
            "fax_number": "850-656-8969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 John Knox Rd",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323036611",
            "country_code": "US",
            "telephone_number": "850-445-7894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-02",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW4767",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ware Baldwin
• Dhanin Cole Balgobin
• Sunita Balgobin
• Katrina Ball, CNMAPRN
• Starr Jennifer Ball, DO
• Walter Alexander Ballard IV
• Susan Lynn Ballow, CLINICAL SOCIAL WORK
• Nicole Nabors Balmer, MD
• Saba Akbar Baloch, MD
• Moriam O Balogun, ARNP

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.