Individual provider · Type 1 NPI
Michelle Lynn Ballard
Clinical Social Worker · Ontario, CA
Practice location
3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661
Mailing address
7353 Ellena W, Unit 82
Rancho Cucamonga, CA 91730-8367
Other practice locations
- 7353 Ellena W, Unit 82, Rancho Cucamonga, CA 91730-8367 · (760) 946-8200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 75676 (CA) |
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 1982900783
Michelle Lynn Ballard's National Provider Identifier is 1982900783, issued on Jan 27, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ontario, CA. The record was last updated on Aug 27, 2021.