Luis Javier Balcazar Jr.
Individual provider Active NPI Clinical Social Worker · West Lafayette, IN
NPI 1487055422 · NPPES record last updated Apr 29, 2016
Key facts
- NPI
- 1487055422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 601 Stadium Mall Dr
West Lafayette, IN 47907-2052 - Phone
- (765) 494-6995
- Fax
- (765) 496-2139
- NPI assigned
- Sep 9, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
601 Stadium Mall Dr
West Lafayette, IN 47907-2052
Mailing address
902 N Chauncey Ave
West Lafayette, IN 47906-2706
Other providers in West Lafayette, IN
- Nathan D Bacon
- Kelly Marie Bailey
- Chelsea Marie Baker
- Samuel Layne Baker
- Stephanie J Baker
- Zoey Bamonti
- Mona Bapat
- Brandy Barley
- Kayla Barrera
- Carolyn Ann Bart
All providers in West Lafayette, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.