Ryan Balis
Individual provider Active NPI Clinical Social Worker · Monroe, CT
NPI 1487935771 · NPPES record last updated Aug 31, 2011
Key facts
- NPI
- 1487935771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 107 Bart Rd
Monroe, CT 06468-1108 - Phone
- (203) 275-6468
- NPI assigned
- Aug 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
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
107 Bart Rd
Monroe, CT 06468-1108
Mailing address
107 Bart Rd
Monroe, CT 06468-1108
Phone (203) 275-6468
Other providers in Monroe, CT
- Jessica Potrepka Arsenault
- Ashley Demenna, LCSW, LLC
- Aviv Therapeutic Services LLC
- Siobhan C Badeaux
- Sarah Balaster
- Cheryl Ball
- Caitlin Ballaro
- Laura Sue Barbagallo
- Paul Francisco Barbier
- Jennifer Barstrom
All providers in Monroe, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2011. 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.