MS. MARY KATHLEEN BALKON LMSW
NPI 1376811844
Social Worker - Clinical in Grand Rapids, MI

Active since December 12, 2011PECOS Enrolled
100 CHERRY ST SE, GRAND RAPIDS, MI 49503(616) 965-8200 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Mary Kathleen Balkon Lmsw NPPES

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

MS. MARY KATHLEEN BALKON LMSW (NPI 1376811844) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801090757) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376811844
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY KATHLEEN BALKONCredential: LMSW
Location Address100 CHERRY ST SEGrand Rapids, MI 49503-4526
Mailing Address100 Cherry St SeGrand Rapids, MI 49503-4526 · (616) 965-8200
Sole ProprietorYes
Enumeration DateDecember 12, 2011
Last NPPES UpdateJanuary 3, 2012
NPI 1376811844 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 MI · 6801090757
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.

100 CHERRY ST SE, Grand Rapids, MI 49503

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 (PECOS)

Ms. Mary Kathleen Balkon Lmsw 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 49503 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Psychiatric/Mental Health)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Clinic/Center (Federally Qualified Health Center (FQHC))
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Community Health Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Optometrist
100 CHERRY ST SE
GRAND RAPIDS, MI 49503

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 Mary Balkon's NPI number?

The NPI number for Mary Balkon is 1376811844. It was assigned to this individual provider in the NPPES registry on December 12, 2011.

Where is Mary Balkon located?

Mary Balkon practices at 100 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (616) 965-8200.

What is Mary Balkon's specialty?

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

Is Mary Balkon enrolled in Medicare?

Yes. Mary Balkon is registered in the Medicare PECOS enrollment system.

What insurance does Mary Balkon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and Providence Health Plan list Mary Balkon 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 Mary Balkon was last updated on January 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.