Active NPI
Laura Elizabeth Ballard, MSW, LCSW
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1982617346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12870
- Practice address
- 5525 Twin Knolls Rd
Suite 327
Columbia, MD 21045-3266 - Phone
- (703) 578-0030
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904006155 | VA | |
| Clinical Social Worker | 1041C0700X | 12870 | MD | Primary |
Addresses
Primary practice location
5525 Twin Knolls Rd
Suite 327
Columbia, MD 21045-3266
Mailing address
5301 Westbard Cir Apt 305
Bethesda, MD 20816-1468
Phone (703) 578-0030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904006155 | VA | MD | Clinical Social Worker |
| 12870 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1982617346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 WESTBARD CIR APT 305",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208161468",
"telephone_number": "703-578-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 TWIN KNOLLS RD",
"address_2": "SUITE 327",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453266",
"telephone_number": "703-578-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006155",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.