Kelsey Balaban, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63067 Issued in TX

Practice address

8956 Research Blvd BLDG 2
Austin, TX 78758-5945

Phone

(512) 451-7337

Fax

(512) 451-8729

NPI assigned

Jun 20, 2019

Last updated

Jun 20, 2019By the provider in NPPES

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1790346740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8956 RESEARCH BLVD BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585945",
            "telephone_number": "512-451-7337",
            "fax_number": "512-451-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8956 RESEARCH BLVD BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585945",
            "telephone_number": "512-451-7337",
            "fax_number": "512-451-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALABAN",
        "first_name": "KELSEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Baker, PA-C
• Walter Paul Baker
• William Michael Baker, DDS
• Arun Bala, DDS, MS
• Ilicia Balaban, LCSW
• Ashley J Baladhay, PHARM.D.
• Harika Balagoni, M.D
• Shreya Balamurali, MD
• Daniel Kekoa Balanay-Tahkine, L. AC.
• Balance Behavior Austin

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.