Individual provider · Type 1 NPI

Amory E.w. Ballantine, LICSW

Clinical Social Worker · Olympia, WA

NPI number 1023748407 Active

Practice location

413 Lilly Rd NE
Olympia, WA 98506-5133

Call (360) 491-9480 Map

Fax (360) 456-2413

Other practice locations

  • 3408 S Union Ave, Tacoma, WA 98409-3140 · (253) 565-4887

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61652720 (WA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023748407

Amory E.w. Ballantine, LICSW's National Provider Identifier is 1023748407, issued on Jun 16, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Olympia, WA. The record was last updated on May 28, 2025.