Individual provider Active NPI

Carrie Balbo, LCSW

  • Social Worker
  • Chandler, AZ
National Provider Identifier
1497473540
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-20660 Issued in AZ
Practice address
1836 E Glacier PL
Chandler, AZ 85249-2884
Phone
(602) 487-2728
NPI assigned
Aug 16, 2022
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-20660 AZ Primary

Addresses

Primary practice location

1836 E Glacier PL
Chandler, AZ 85249-2884

Mailing address

1836 E Glacier PL
Chandler, AZ 85249-2884
Phone (602) 487-2728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219001019 AZ Practitioner - Clinical Social Worker 7517494222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways to Connection LLCGroup PAC ID 7719321561, 5 clinicians

Practice addresses (Care Compare)

7007 W Cinnabar Ave
Peoria, AZ 85345-6894
Phone (928) 792-1357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-20660AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Connection, LLC CurrentSince Oct 12, 2024 Accepting new patients
Practicing Compassion LLC CurrentSince Aug 28, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1497473540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 E GLACIER PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852492884",
            "telephone_number": "602-487-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 E GLACIER PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852492884",
            "telephone_number": "602-487-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBO",
        "first_name": "CARRIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-20660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.