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AMORY E.W. BALLANTINE LICSW
NPI 1023748407
Social Worker - Clinical in Olympia, WA

Active since June 16, 2022PECOS Enrolled
413 LILLY RD NE, OLYMPIA, WA 98506(360) 491-9480(360) 456-2413 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Apr 1, 2025 (2 updates tracked since 2025).

About Amory E.w. Ballantine Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMORY E.W. BALLANTINE LICSW (NPI 1023748407) is an individual clinical provider in Olympia, Washington, licensed in Washington (LW61652720) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1023748407
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMORY E.W. BALLANTINECredential: LICSW
Location Address413 LILLY RD NEOlympia, WA 98506-5133
Mailing Address413 Lilly Rd NeOlympia, WA 98506-5166 · (360) 491-9480 · Fax (360) 456-2413
Phone(360) 491-9480
Fax(360) 456-2413
Sole ProprietorNo
Enumeration DateJune 16, 2022
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1023748407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW61652720
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
413 LILLY RD NE, Olympia, WA 98506
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Other Names 1

Other Name (5)Amory E.w. Van Orman-ballantine Informally Used

Secondary Practice Location 1

Location 13408 S Union AveTacoma, WA 98409-3140 · Phone (253) 565-4887

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amory E.w. Ballantine Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY HOWARD MD
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 491-9480
DR. PENELOPE ANNE GOODE M.D.
Emergency Medicine
413 LILLY RD NE, OLYMPIA EMERGENCY SERVICES
OLYMPIA, WA 98506
Thurston County (360) 493-4554
MR. URIEL JIMENEZ SANCHEZ
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7179
DANIEL HU
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-5438
RAFFY JATAMOSA
Nurse Practitioner
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 491-9480
CHANH TAM NGUYEN
Student in an Organized Health Care Education/Training Program
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7525
SUSAN A DERRY MD
Emergency Medicine
413 LILLY RD NE, MSDDH09
OLYMPIA, WA 98506
Thurston County (360) 918-0119
JENNI YEA PHARMD
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amory Ballantine's NPI number?

The NPI number for Amory Ballantine is 1023748407. It was assigned to this individual provider in the NPPES registry on June 16, 2022. The provider is also known as Amory E.W. Van Orman-Ballantine Informally Used.

Where is Amory Ballantine located?

Amory Ballantine practices at 413 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 491-9480.

What is Amory Ballantine's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amory Ballantine enrolled in Medicare?

Yes. Amory Ballantine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amory Ballantine was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.