Balanced Mind Clinical Services, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BALANCED MIND CLINICAL SERVICES, LCSW, PLLC

Practice address

2510 Chili Ave Ste 5
Rochester, NY 14624-3334

Phone

(585) 406-3151

NPI assigned

Oct 23, 2023

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Witter, DSW, LCSWNPI 1912477811

Title

Owner

Phone

(585) 406-3151

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Witter, LCSW

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1912477811
  NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1760254965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 CHILI AVE STE 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 CHILI AVE STE 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243334",
            "telephone_number": "585-406-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MIND CLINICAL SERVICES, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "WITTER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-406-3151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Bakos, M.D.
• Rona Bakri, MD
• Sudha D Bakshi, M.D.
• Adithya Bala, MD
• Mangalam Bala, MD
• Gianna Balassone
• Uthayavanee Balasubramaniam, MD
• Mostafa Balboul, MD
• Jamie Balcerak, M.A., CCC-SLP
• Rebekah Joy Balch, LCSW

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.