Individual provider · Type 1 NPI

Thomas Anthony Ballis, LCSW, LCAS

Clinical Social Worker · Wilmington, NC

NPI number 1982707279 Active

Practice location

720 N 3rd St, Ste 101
Wilmington, NC 28401-3474

Fax (910) 251-7859

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X447 (NC)
Clinical Social Worker Primary 1041C0700XC002121 (NC)

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 1982707279

Thomas Anthony Ballis, LCSW, LCAS's National Provider Identifier is 1982707279, issued on Sep 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on May 7, 2026.