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ELYSE BALDER LICSW
NPI 1184720336
Social Worker - Clinical in Framingham, MA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
14 VERNON ST, SUITE 206, FRAMINGHAM, MA 01701(617) 775-7026 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elyse Balder Licsw NPPES

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

ELYSE BALDER LICSW (NPI 1184720336) is an individual clinical provider in Framingham, Massachusetts, licensed in Massachusetts (1016273) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1184720336
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELYSE BALDERCredential: LICSW
Location Address14 VERNON ST, SUITE 206Framingham, MA 01701-4733
Mailing Address14 Vernon St, Suite 206Framingham, MA 01701-4733 · (617) 775-7026
Phone(617) 775-7026
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184720336 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 MA · 1016273
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.
14 VERNON ST, Framingham, MA 01701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Elyse Balder Licsw 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.

PECOS PAC ID244265916
PECOS Enrollment IDI20050930000535
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 01701 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 5

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

MS. BARBARA A. LEVINE LICSW
Social Worker (Clinical)
14 VERNON ST, SUITE212
FRAMINGHAM, MA 01701
Middlesex County (508) 879-0222
CITY OF FRAMINGHAM
Local Education Agency (LEA)
14 VERNON ST
FRAMINGHAM, MA 01701
Middlesex County (508) 626-9117
DR. JEFFREY ROBBINS GOLDBARG MD
Psychiatry & Neurology (Psychiatry)
14 VERNON ST, STE 206
FRAMINGHAM, MA 01701
Middlesex County (508) 626-0076
MS. LAURIE E SUGARMAN-WHITTIER MSW
Social Worker (Clinical)
14 VERNON ST, SUITE 206
FRAMINGHAM, MA 01701
Middlesex County (508) 788-0124
DR. JOSEPH G. CUNNINGHAM PHD.
Psychologist (Clinical)
14 VERNON ST, SUITE 304
FRAMINGHAM, MA 01701
Middlesex County (781) 439-1531

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 Elyse Balder's NPI number?

The NPI number for Elyse Balder is 1184720336. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Elyse Balder located?

Elyse Balder practices at 14 Vernon St Suite 206, Framingham, MA 01701. The listed phone number is (617) 775-7026.

What is Elyse Balder's specialty?

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

Is Elyse Balder enrolled in Medicare?

Yes. Elyse Balder 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 Elyse Balder accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Elyse Balder 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 Elyse Balder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.