Active NPI
Patricia Balentine, MSW
- Clinical Social Worker
- Florence, AL
National Provider Identifier
1437115144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12256
- Practice address
- 635 W College St
Florence, AL 35630-5313 - Phone
- (256) 764-3431
- Fax
- (256) 765-2036
- NPI assigned
- Apr 21, 2006
- Last updated
- Feb 14, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 12256 | AL | Primary |
Addresses
Primary practice location
635 W College St
Florence, AL 35630-5313
Mailing address
635 W College St
Florence, AL 35630-5313
Phone (256) 764-3431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-92387 | Other | AL | BCBS OF AL |
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 |
|---|---|---|---|
| 12256 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1437115144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 W COLLEGE ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305313",
"telephone_number": "256-764-3431",
"fax_number": "256-765-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W COLLEGE ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305313",
"telephone_number": "256-764-3431",
"fax_number": "256-765-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALENTINE",
"first_name": "PATRICIA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "12256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "510-92387",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.