Alex Ballan, LCSW, ED.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS23768 Issued in CA

Practice address

13337 South Street Ste 16
Cerritos, CA 90703-7308

Phone

(562) 384-4080

NPI assigned

Jul 2, 2015

Sex

Male

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)

Enrolled

State licenses

Practice roles

Locations

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

• Ballan Counseling a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Artesia, CA
  • NPI 1265011803
  NPD Authorized official
• Telecare

  • Community/Behavioral Health Agency
  • Norwalk, CA
  • NPI 1649701749
  NPD (past)

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1689057002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13337 SOUTH ST STE 16",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037308",
            "telephone_number": "562-384-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13337 SOUTH STREET STE 16",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037308",
            "telephone_number": "562-384-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12440 Firestone Blvd",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906504328",
            "country_code": "US",
            "telephone_number": "562-929-6688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18000 Studebaker Road, Suite 700",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "90703",
            "country_code": "US",
            "telephone_number": "562-384-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLAN",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "LCSW, ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Bakh, MD
• Balance and Motion Physical Therapy
• Rosette Mae Lopez Balbin, NP
• Ivan Jeffrey Baldomero
• Alyssa Jo Baldonado
• Michael Enrique Ballesteros, AMFT
• Lichelle Wendy Bangsil, RDHAP
• Shane Banks
• Heidi Annette Bansberg, D.C.
• Elonzo D Barba

• Clinical Social Worker in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.