LESYA BALIN LCSW
NPI 1841538865
Social Worker - Clinical in Downingtown, PA
About Lesya Balin Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LESYA BALIN LCSW (NPI 1841538865) is an individual clinical provider in Downingtown, Pennsylvania, licensed in Pennsylvania (CW017470) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lesya Balin Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Lesya Balin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Reading, PA 19601
- Reassigned Medicare billing, Pennsylvania enrollment
- 22 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 19335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lesya Balin's NPI number?
The NPI number for Lesya Balin is 1841538865. It was assigned to this individual provider in the NPPES registry on January 25, 2013.
Where is Lesya Balin located?
Lesya Balin practices at 601 Dogwood Dr, Downingtown, PA 19335. The listed phone number is (267) 918-8717.
What is Lesya Balin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Lesya Balin enrolled in Medicare?
Yes. Lesya Balin 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.
Which organization bills Medicare for Lesya Balin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lesya Balin reassigns Medicare benefits to Berks Counseling Center, Inc. (Reading, 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 Lesya Balin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lesya Balin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lesya Balin 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 Lesya Balin was last updated on January 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Lesya Balin, LCSW · NPI 1841538865
Clinical provider in Downingtown, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 25, 2013.
## Identity
- **NPI:** 1841538865 (Entity type: Individual)
- **Enumerated:** January 25, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CW017470 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 601 DOGWOOD DR, Downingtown, PA 19335-3907
- **Phone:** (267) 918-8717
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Berks Counseling Center, Inc. (NPI 1881620250, Reading, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 25, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1841538865) · Data from the CMS NPPES public registry.