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MR. SAMUEL EDWARD BALLA LISW-S
NPI 1851744403
Social Worker - Clinical in Delaware, OH

Active since July 19, 2016PECOS Enrolled
88 N. SANDUSKY ST, DELAWARE, OH 43015(740) 203-3800(740) 203-3799 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Samuel Edward Balla Lisw-s NPPES

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

MR. SAMUEL EDWARD BALLA LISW-S (NPI 1851744403) is an individual clinical provider in Delaware, Ohio, licensed in Ohio (I1500113SUPV) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851744403
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SAMUEL EDWARD BALLACredential: LISW-S
Location Address88 N. SANDUSKY STDelaware, OH 43015
Mailing Address1791 Alum Creek DrColumbus, OH 43207-1708 · (614) 445-8131 · Fax (614) 827-8380
Phone(740) 203-3800
Fax(740) 203-3799
Sole ProprietorNo
Enumeration DateJuly 19, 2016
✔ NPI 1851744403 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 OH · I1500113SUPV
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.
88 N. SANDUSKY ST, Delaware, OH 43015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel Edward Balla Lisw-s 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Samuel Balla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellqor Psychological Services, PC
509 mi
Clinical
135 PINELAWN RD STE 204N
Melville, NY 11747
  • Reassigned Medicare billing, Ohio enrollment
  • 12 clinicians in this Medicare group
NPI 1063920841 (844) 888-0355
Sondermind Provider Network LLC
1,161 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Ohio enrollment
  • 313 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Wellqor Psychological Services Of California, PC
1,932 mi
Clinical
25060 HANCOCK AVE STE 103-483
Murrieta, CA 92562
  • Reassigned Medicare billing, Ohio enrollment
  • 11 clinicians in this Medicare group
NPI 1093173742 (844) 888-0355

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 43015 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 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $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

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

MARY ANN TACKETT LPN
Licensed Practical Nurse
88 N. SANDUSKY ST
DELAWARE, OH 43015
Delaware County (740) 203-3800

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 Samuel Balla's NPI number?

The NPI number for Samuel Balla is 1851744403. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Samuel Balla located?

Samuel Balla practices at 88 N. Sandusky St, Delaware, OH 43015. The listed phone number is (740) 203-3800.

What is Samuel Balla's specialty?

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

Is Samuel Balla enrolled in Medicare?

Yes. Samuel Balla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Balla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Balla reassigns Medicare benefits to 3 organizations: Wellqor Psychological Services, PC (Melville, NY), Sondermind Provider Network LLC (Denver, CO) and Wellqor Psychological Services Of California, PC (Murrieta, CA). Each 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 Samuel Balla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Balla accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Samuel Balla 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 Samuel Balla was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.