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STACI BALLIET
NPI 1053019661
Social Worker - Clinical in Brea, CA

Active since February 22, 2023
1585 HONEYWOOD CT, BREA, CA 92821(714) 510-0101 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Staci Balliet NPPES

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

STACI BALLIET (NPI 1053019661) is an individual clinical provider in Brea, California, licensed in California (109631) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1053019661
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACI BALLIET
Location Address1585 HONEYWOOD CTBrea, CA 92821-2735
Mailing Address1585 Honeywood CtBrea, CA 92821-2735 · (714) 510-0101
Phone(714) 510-0101
Sole ProprietorYes
Enumeration DateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
✔ NPI 1053019661 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 CA · 109631
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.
1585 HONEYWOOD CT, Brea, CA 92821
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Other Names 1

Former Name (1)Staci Robertson

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Staci Balliet's NPI number?

The NPI number for Staci Balliet is 1053019661. It was assigned to this individual provider in the NPPES registry on February 22, 2023. The provider is also known as Staci Robertson.

Where is Staci Balliet located?

Staci Balliet practices at 1585 Honeywood Ct, Brea, CA 92821. The listed phone number is (714) 510-0101.

What is Staci Balliet's specialty?

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

When was this NPI record last updated?

The NPPES record for Staci Balliet was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.