Individual provider · Type 1 NPI

Samuel Edward Balla, LISW-S

Clinical Social Worker · Delaware, OH

NPI number 1851744403 Active

Practice location

88 N. Sandusky St
Delaware, OH 43015

Call (740) 203-3800 Map

Fax (740) 203-3799

Mailing address

1791 Alum Creek Dr
Columbus, OH 43207-1708

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI1500113SUPV (OH)

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 1851744403

Samuel Edward Balla, LISW-S's National Provider Identifier is 1851744403, issued on Jul 19, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Delaware, OH. The record was last updated on Jul 19, 2016.