Michael S Balliro, LCSW
Individual provider Active NPI Clinical Social Worker · Dover, DE
NPI 1568028025 · NPPES record last updated May 10, 2019
Key facts
- NPI
- 1568028025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- Q1-0001671 (DE)
- Practice address
- 642 S Queen St Ste 102
Dover, DE 19904-3506 - Phone
- (800) 818-8680
- Fax
- (800) 818-8680
- NPI assigned
- May 10, 2019
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1-0001671 | DE | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Q1-0001671 | DE | Yes |
Addresses
Primary practice location
642 S Queen St Ste 102
Dover, DE 19904-3506
Mailing address
1000 Midway Dr Ste 3
Harrington, DE 19952-2448
Phone (800) 818-8680
Other providers in Dover, DE
- Lindsay Baker
- Natalie Baker
- Shekeyia Baker
- Balance and Beyond Therapy LLC
- Pamela Ann Balentine
- Ganesh R Balu
- Alisha M Banas
- Alexandra Bandy
- Bilal Shahid Bangash
- Alberta Lynn Banks
All providers in Dover, DE · Clinical Social Worker in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2019. 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.