Emily Balch, LCSW
Individual provider Active NPI Clinical Social Worker · Conifer, CO
NPI 1922436385 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1922436385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9923391
- Practice address
- 10791 Kitty Dr Ste a
Conifer, CO 80433-7748 - Phone
- (720) 805-6575
- NPI assigned
- Oct 23, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180111000527 | CO | Practitioner - Clinical Social Worker | 6709145154 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Roots Counseling, LLC | Clinical | Current |
Accepting new patients |
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
| Jefferson Center for Mental Health | Past | Accepting new patients | |
| Jefferson Center for Mental Health | Past | Accepting new patients |
Locations
10791 Kitty Dr
Conifer, CO 80433
Phone (303) 816-4904
10791 Kitty Dr
Ste A
Conifer, CO 80433
Phone (303) 838-4686
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9923391 | Yes |
Addresses
Primary practice location
10791 Kitty Dr Ste a
Conifer, CO 80433-7748
Mailing address
10791 Kitty Dr Ste a
Conifer, CO 80433-7748
Phone (720) 805-6575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215072343 | Medicaid | CO |
Other providers in Conifer, CO
- Atmos Healthcare LLC
- Awakened Lotus Counseling LLC
- Mary Ayers
- Adam Bahnson
- Megan Elizabeth Bailey-Baker
- Fern Aurora Barker
- Jo Barrett
- Penny Beckloff
- Chance Begay
- Chloe Margaret Benz
All providers in Conifer, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.