LISA BALOG LCSW
NPI 1669115655
Social Worker - Clinical in New Bloomfield, PA

Active since April 18, 2022PECOS Enrolled
550 SHERMANS VALLEY RD, NEW BLOOMFIELD, PA 17068(717) 582-9922 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Balog Lcsw NPPES

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

LISA BALOG LCSW (NPI 1669115655) is an individual clinical provider in New Bloomfield, Pennsylvania, licensed in Pennsylvania (CW027614) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669115655
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA BALOGCredential: LCSW
Location Address550 SHERMANS VALLEY RDNew Bloomfield, PA 17068-8547
Mailing Address550 Shermans Valley RdNew Bloomfield, PA 17068-8547 · (717) 582-9922
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 18, 2022
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1669115655 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 PA · CW027614
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.
550 SHERMANS VALLEY RD, New Bloomfield, PA 17068

Other Names 1

Former Name (1)Lisa M Sullivan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Balog Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557820370
PECOS Enrollment IDI20260821004947
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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Balog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
7564 BROWNS MILL RD
Chambersburg, PA 17202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17068 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Counselor (Professional)
550 SHERMANS VALLEY RD
NEW BLOOMFIELD, PA 17068
Counselor (Professional)
550 SHERMANS VALLEY RD
NEW BLOOMFIELD, PA 17068
Behavior Technician
550 SHERMANS VALLEY RD
NEW BLOOMFIELD, PA 17068
Counselor (Professional)
550 SHERMANS VALLEY RD
NEW BLOOMFIELD, PA 17068
Counselor (Professional)
550 SHERMANS VALLEY RD
NEW BLOOMFIELD, PA 17068
Social Worker
550 SHERMANS VALLEY RD
NEW BLOOMFIELD, PA 17068
Counselor (Professional)
550 SHERMANS VALLEY RD
NEW BLOOMFIELD, PA 17068
Counselor (Professional)
550 SHERMANS VALLEY RD
NEW BLOOMFIELD, PA 17068

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 Lisa Balog's NPI number?

The NPI number for Lisa Balog is 1669115655. It was assigned to this individual provider in the NPPES registry on April 18, 2022. The provider is also known as Lisa M Sullivan.

Where is Lisa Balog located?

Lisa Balog practices at 550 Shermans Valley Rd, New Bloomfield, PA 17068. The listed phone number is (717) 582-9922.

What is Lisa Balog's specialty?

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

Is Lisa Balog enrolled in Medicare?

Yes. Lisa Balog is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Balog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Balog reassigns Medicare benefits to Folium, Inc. (Chambersburg, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Balog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Balog was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.