MS. BRONWEN B. BALLOU LICSW
NPI 1558485490
Social Worker - Clinical in Lebanon, NH

Active since March 17, 2007PECOS EnrolledAccepts Medicare Assignment
367 STATE ROUTE 120, SUITE B1, LEBANON, NH 03766(603) 653-0199 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Bronwen B. Ballou Licsw NPPES

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

MS. BRONWEN B. BALLOU LICSW (NPI 1558485490) is an individual clinical provider in Lebanon, New Hampshire, licensed in New Hampshire (949) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1558485490
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. BRONWEN B. BALLOUCredential: LICSW
Location Address367 STATE ROUTE 120, SUITE B1Lebanon, NH 03766-1430
Mailing Address20 Dresden RdHanover, NH 03755-1322 · (603) 643-8838
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateMarch 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1558485490 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 NH · 949
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.
367 STATE ROUTE 120, Lebanon, NH 03766

Other Identifiers 8

Other14Y000923NH01Federal Bcbs
Other49549Bcbs Of Vt
Other49549Magellan
Other7728098Aetna
Other14Y000923NH01Bcbs Of Nh
Other400420Mvp
Medicaid30420957NH
Medicaid1007467VT

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. Bronwen B. Ballou 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 ID1153682836
PECOS Enrollment IDI20180220001236
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.

Areas of Expertise CMS Part B claims

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
173 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03766 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 $57.75 – $174.26
Typical copayment $0.00 (range $14.43 – $43.56)
Most-billed visit code NA
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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 8

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
367 STATE ROUTE 120, UNIT E3
LEBANON, NH 03766
Psychologist
367 STATE ROUTE 120, SUITE B8
LEBANON, NH 03766
Psychologist (Clinical)
367 STATE ROUTE 120, SUITE B-8
LEBANON, NH 03766
Clinic/Center (Dental)
367 STATE ROUTE 120, UNIT B-3
LEBANON, NH 03766
Dentist (General Practice)
367 STATE ROUTE 120, UNIT C
LEBANON, NH 03766
Dentist (General Practice)
367 STATE ROUTE 120, BLDG D
LEBANON, NH 03766
Dentist (General Practice)
367 STATE ROUTE 120, UNIT C
LEBANON, NH 03766
Dietitian, Registered
367 STATE ROUTE 120, SUITE B-8
LEBANON, NH 03766

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 Bronwen Ballou's NPI number?

The NPI number for Bronwen Ballou is 1558485490. It was assigned to this individual provider in the NPPES registry on March 17, 2007.

Where is Bronwen Ballou located?

Bronwen Ballou practices at 367 State Route 120 Suite B1, Lebanon, NH 03766. The listed phone number is (603) 653-0199.

What is Bronwen Ballou's specialty?

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

Is Bronwen Ballou enrolled in Medicare?

Yes. Bronwen Ballou 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 Bronwen Ballou accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Providence Health Plan list Bronwen Ballou 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 Bronwen Ballou 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.