Individual provider Active NPI

Margaret Lee Ballard, RN LCSW

  • Clinical Social Worker
  • Palm Beach Gardens, FL
National Provider Identifier
1861450249
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5354 Issued in FL
Practice address
600 Sandtree Dr
Suite 202a
Palm Beach Gardens, FL 33403-1597
Phone
(561) 845-6722
Fax
(561) 622-9431
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1602062 FL
Clinical Social Worker 1041C0700X SW5354 FL Primary

Addresses

Primary practice location

600 Sandtree Dr
Suite 202a
Palm Beach Gardens, FL 33403-1597

Mailing address

4690 Holly Drive
Palm Beach Gardens, FL 33418
Phone (561) 622-9431

Other identifiers 1

IdentifierTypeStateIssuer
Z9521OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Mrs. Lee Fox Ballard Professional name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
SW5354FLMDClinical Social Worker
RN1602062FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1861450249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 HOLLY DRIVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33418",
            "telephone_number": "561-622-9431",
            "fax_number": "561-622-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SANDTREE DR",
            "address_2": "SUITE 202A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031597",
            "telephone_number": "561-845-6722",
            "fax_number": "561-622-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "MARGARET",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RN LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN1602062",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z9521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "BALLARD",
            "middle_name": "FOX",
            "prefix": "MRS.",
            "credential": "RN LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.