Margaret Ann Ballard – Clinical Social Worker

Key facts

NPI: 1871735985
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 34000605 MB (IN)
Practice address: 223 Hillcrest Dr.
Newburgh, IN 47630-1432
Phone: (812) 853-6649
Fax: (812) 858-5121
NPI assigned: Apr 3, 2009
Sex: Female
Sole proprietor: Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
34000605 MB	IN	MD	Clinical Social Worker
35000276	IN	MD	Marriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	34000605 MB	IN	Yes
Marriage & Family Therapist	106H00000X	35000276	IN

Addresses

Primary practice location

223 Hillcrest Dr.
Newburgh, IN 47630-1432

Mailing address

223 Hillcrest Dr.
Newburgh, IN 47630-1432
Phone (812) 853-6649

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 3, 2009.

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1871735985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 HILLCREST DR.",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476301432",
            "telephone_number": "812-853-6649",
            "fax_number": "812-858-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 HILLCREST DR.",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476301432",
            "telephone_number": "812-853-6649",
            "fax_number": "812-858-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "LCSW/LMFT/PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000605 MB",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

All providers in Newburgh, IN · Clinical Social Worker in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.