Individual provider · Type 1 NPI

Robert Jonathan Ball, LCSW, ED.D.

Clinical Social Worker · Syracuse, NY

NPI number 1083621726 Active

Practice location

1212 James St
Syracuse, NY 13203-2808

Fax (315) 428-8304

Mailing address

5730 E Lake Rd
Cazenovia, NY 13035-9324

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR034319-1 (NY)

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 1083621726

Robert Jonathan Ball, LCSW, ED.D.'s National Provider Identifier is 1083621726, issued on Aug 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.