Individual provider Active NPI

Julia Ovalle, LICSW

  • Clinical Social Worker
  • Portsmouth, NH
National Provider Identifier
1730490335
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
141 Concord Way
Portsmouth, NH 03801-3405
Phone
(603) 828-5185
Fax
(888) 830-1669
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

141 Concord Way
Portsmouth, NH 03801-3405

Mailing address

141 Concord Way
Portsmouth, NH 03801-3405
Phone (603) 828-5185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Lifestyle Counseling, LLC Clinical CurrentSince Aug 1, 2019 Accepting new patients

Locations

7 Greenleaf Woods Dr
Unit 202
Portsmouth, NH 03801

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1730490335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CONCORD WAY",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013405",
            "telephone_number": "603-828-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CONCORD WAY",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013405",
            "telephone_number": "603-828-5185",
            "fax_number": "888-830-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVALLE",
        "first_name": "JULIA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; 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.