Individual provider · Type 1 NPI

Allyssa June Ballard, LMSW

Clinical Social Worker · Grandville, MI

NPI number 1669017067 Active

Practice location

4370 Chicago Dr SW # 515
Grandville, MI 49418-1694

Mailing address

15611 Chestnut Ave
Eastpointe, MI 48021-2392

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801105497 (MI)

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 1669017067

Allyssa June Ballard, LMSW's National Provider Identifier is 1669017067, issued on Nov 10, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grandville, MI. The record was last updated on Aug 10, 2022.