JEAN D BALLOU PC - NPI 1578834586 - Social Worker in Missoula, MT

Q: What is Jean D Ballou PC's NPI number?

The NPI number for Jean D Ballou PC is 1578834586. It was assigned to this organization in the NPPES registry on January 23, 2012.

Q: What is Jean D Ballou PC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jean D Ballou PC was last updated on July 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jean D Ballou Pc NPPES

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

JEAN D BALLOU PC (NPI 1578834586) is a healthcare organization registered as a clinical in Missoula, Montana and active in the NPI registry since January 2012. The organization lists Jean D Ballou, Owner, as its authorized official.

NPPES Registry Identity

NPI1578834586

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameJEAN D BALLOU PC

Location Address210 N HIGGINS AVE STE 314Missoula, MT 59802-4443

Mailing Address210 N Higgins Ave Ste 314Missoula, MT 59802-4443 · (406) 543-9566

Phone(406) 543-9566

Organization SubpartNo

Authorized OfficialJean D BallouOwner · (406) 543-9566

Enumeration DateJanuary 23, 2012

Last NPPES UpdateJuly 2, 2015

✔ NPI 1578834586 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 MT · 27LCSW

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.

210 N HIGGINS AVE STE 314, Missoula, MT 59802

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Other Identifiers 3

Medicaid0503295MT

Medicare PIN000005477MT

Other0000071350MT · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

CARLY JORDAN HATFIELD DNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)