MS. TONI MARIE BALLAS-ROWE LCSW
NPI 1124027537
Social Worker - Clinical in Lewes, DE
About Ms. Toni Marie Ballas-rowe Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TONI MARIE BALLAS-ROWE LCSW (NPI 1124027537) is an individual clinical provider in Lewes, Delaware, licensed in Delaware (Q10000204) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1983).
NPPES Registry Identity
Specialties & Licenses 2
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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Toni Marie Ballas-rowe Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19958 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEWES, DE 19958
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 Toni Ballas-rowe's NPI number?
The NPI number for Toni Ballas-rowe is 1124027537. It was assigned to this individual provider in the NPPES registry on July 18, 2005.
Where is Toni Ballas-rowe located?
Toni Ballas-rowe practices at 16529 Coastal Hwy Unit 120, Lewes, DE 19958. The listed phone number is (302) 645-0633.
What is Toni Ballas-rowe's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Toni Ballas-rowe enrolled in Medicare?
Yes. Toni Ballas-rowe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Toni Ballas-rowe accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Toni Ballas-rowe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Toni Ballas-rowe was last updated on October 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.