Susan Lynn Ballow, CLINICAL SOCIAL WORK

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW 5021 Issued in FL

Practice address

1651 Mahan Center Blvd
Department of Veterans Affairs
Tallahassee, FL 32308

Phone

(800) 324-8387

Fax

(850) 521-5702

NPI assigned

Jan 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1558546804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 MAHAN CENTER BLVD",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "800-324-8387",
            "fax_number": "850-521-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 MAHAN CENTER BLVD",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "800-324-8387",
            "fax_number": "850-521-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOW",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CLINICAL SOCIAL WORK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW 5021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunita Balgobin
• Katrina Ball, CNMAPRN
• Starr Jennifer Ball, DO
• Mary Elizabeth Ballard, L.C.S.W.
• Walter Alexander Ballard IV
• Nicole Nabors Balmer, MD
• Saba Akbar Baloch, MD
• Moriam O Balogun, ARNP
• Roman Alexander Balsys, DO
• Efren L Baltazar, MD

• 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 Jan 7, 2008; 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.