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JAIME SAMANTHA BALIS LCSW
NPI 1235548793
Social Worker - Clinical in Jericho, NY

Active since August 10, 2014PECOS Enrolled
82 BOUNTY LN, JERICHO, NY 11753(516) 312-5739 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaime Samantha Balis Lcsw NPPES

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

JAIME SAMANTHA BALIS LCSW (NPI 1235548793) is an individual clinical provider in Jericho, New York, licensed in New York (086530-01) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235548793
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAIME SAMANTHA BALISCredential: LCSW
Location Address82 BOUNTY LNJericho, NY 11753-2210
Mailing Address245 E 63rd St Apt 32gNew York, NY 10065-7432 · (516) 312-5739
Phone(516) 312-5739
Sole ProprietorYes
Enumeration DateAugust 10, 2014
Last NPPES UpdateApril 27, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1235548793 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 NY · 086530-01
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.
82 BOUNTY LN, Jericho, NY 11753
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaime Samantha Balis Lcsw 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 11753 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Jaime Balis's NPI number?

The NPI number for Jaime Balis is 1235548793. It was assigned to this individual provider in the NPPES registry on August 10, 2014.

Where is Jaime Balis located?

Jaime Balis practices at 82 Bounty Ln, Jericho, NY 11753. The listed phone number is (516) 312-5739.

What is Jaime Balis's specialty?

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

Is Jaime Balis enrolled in Medicare?

Yes. Jaime Balis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaime Balis was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.