Individual provider Active NPI

Traci Elizabeth Ball, LMSW CAADC

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1841386943
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801080284 Issued in MI
Practice address
917 Wilson St
Marquette, MI 49855-4413
Phone
(906) 458-9501
NPI assigned
Oct 5, 2006
Last updated
Mar 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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 6801080284 MI Primary

Addresses

Primary practice location

917 Wilson St
Marquette, MI 49855-4413

Mailing address

917 Wilson St
Marquette, MI 49855-4413
Phone (906) 458-9501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000848 MI Practitioner - Clinical Social Worker 6901887421 Practice locations: Marquette, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

102 W Hewitt Ave
Marquette, MI 49855-3533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Counseling and Wellness Center, P.C. Past Accepting new patients
Catholic Charities West Michigan Clinical Past Accepting new patients
Vibrant Health Company Clinical PastSince Aug 12, 2015 Accepting new patients
Life Guidance Services Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1841386943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 WILSON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554413",
            "telephone_number": "906-458-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 WILSON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554413",
            "telephone_number": "906-458-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "TRACI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMSW CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.