Individual provider · Type 1 NPI

Susan J. Ballard, L.I.C.S.W.

Clinical Social Worker · West Springfield, MA

NPI number 1144359456 Active

Practice location

632 Westfield St
West Springfield, MA 01089-3887

Fax (413) 455-1265

Mailing address

28 Poplar Ave
West Springfield, MA 01089-2925

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X113142 (MA)
Clinical Social Worker 1041C0700X005058 (CT)

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 1144359456

Susan J. Ballard, L.I.C.S.W.'s National Provider Identifier is 1144359456, issued on Mar 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Springfield, MA. The record was last updated on Jul 8, 2007.