Alida Ballou, LMSW
Individual provider Active NPI Social Worker · Milford, CT
NPI 1912758384 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1912758384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 118381 (NY)
- Practice address
- 57 Plains Rd Ste 33
Milford, CT 06461-2529 - Phone
- (203) 290-1717
- NPI assigned
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118381 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Private Practice of Adrian Rodriguez Targa LCSW | Current |
Accepting new patients |
Locations
57 Plains Rd
Ste 33
Milford, CT 06461
Phone (203) 290-1717
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 118381 | NY | Yes |
Addresses
Primary practice location
57 Plains Rd Ste 33
Milford, CT 06461-2529
Mailing address
57 Plains Rd Ste 33
Milford, CT 06461-2529
Phone (203) 290-1717
Other practice location 1
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone (718) 504-9256 ext. 49256
Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2025. 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.