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MICHAEL BALLES LCSW
NPI 1366960767
Social Worker - Clinical in Carmel, NY

Active since September 06, 2017PECOS Enrolled
75 SEMINARY HILL RD, CARMEL, NY 10512(845) 225-3400(845) 704-6182 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2023, Oct 27, 2022, Jul 20, 2020 and 1 more (4 updates tracked since 2020).

About Michael Balles Lcsw NPPES

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

MICHAEL BALLES LCSW (NPI 1366960767) is an individual clinical provider in Carmel, New York, licensed in New York (093530) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366960767
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL BALLESCredential: LCSW
Location Address75 SEMINARY HILL RDCarmel, NY 10512-1921
Mailing Address876 Lattintown RdMilton, NY 12547-5232
Phone(845) 225-3400
Fax(845) 704-6182
Sole ProprietorNo
Enumeration DateSeptember 6, 2017
Last NPPES UpdateMarch 8, 20234 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1366960767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 093530
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 101296 (NY)
75 SEMINARY HILL RD, Carmel, NY 10512
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Secondary Practice Locations 2

Location 121 Old Route 6Carmel, NY 10512-2107 · Phone (845) 225-5202
Location 23 Commercial PlNewburgh, NY 12550-5306 · Phone (845) 220-2146 ext. 7417

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Balles 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 10512 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 $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

THOMAS MARTIN FOSTER LCSW
Social Worker (Clinical)
75 SEMINARY HILL RD
CARMEL, NY 10512
Putnam County (800) 989-2676
MICHELLE M FUHRMANN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
75 SEMINARY HILL RD
CARMEL, NY 10512
Putnam County (845) 225-3400
MR. BENEDETTO JOHN PAPA JR. MA, MSOL, CASAC ADV.
Counselor (Addiction (Substance Use Disorder))
75 SEMINARY HILL RD
CARMEL, NY 10512
Putnam County (845) 225-3400
TANYA GAYNOR PA-C
Physician Assistant (Medical)
75 SEMINARY HILL RD
CARMEL, NY 10512
Putnam County (518) 952-8142
GERALDINE MILLER FOX LCSW
Social Worker (Clinical)
75 SEMINARY HILL RD
CARMEL, NY 10512
Putnam County (800) 989-2676
BENJAMIN E BELL CASAC
Counselor (Addiction (Substance Use Disorder))
75 SEMINARY HILL RD
CARMEL, NY 10512
Putnam County (800) 989-2676
DANIELLE L CONDON
Registered Nurse
75 SEMINARY HILL RD
CARMEL, NY 10512
Putnam County (845) 225-3400
MARIE C PIERATTI RN
Registered Nurse
75 SEMINARY HILL RD
CARMEL, NY 10512
Putnam County (800) 989-2676

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 Michael Balles's NPI number?

The NPI number for Michael Balles is 1366960767. It was assigned to this individual provider in the NPPES registry on September 6, 2017.

Where is Michael Balles located?

Michael Balles practices at 75 Seminary Hill Rd, Carmel, NY 10512. The listed phone number is (845) 225-3400.

What is Michael Balles's specialty?

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

Is Michael Balles enrolled in Medicare?

Yes. Michael Balles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Balles was last updated on March 8, 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.