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MISS TEDRA SHANISE BALLARD MSW
NPI 1952047748
Social Worker - Clinical in Virginia Beach, VA

Active since May 05, 2022
509 OLD GREAT NECK RD STE 203, VIRGINIA BEACH, VA 23454(757) 520-1312 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, May 5, 2022 (2 updates tracked since 2022).

About Miss Tedra Shanise Ballard Msw NPPES

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

MISS TEDRA SHANISE BALLARD MSW (NPI 1952047748) is an individual clinical provider in Virginia Beach, Virginia, licensed in Virginia (0906012260) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1952047748
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS TEDRA SHANISE BALLARDCredential: MSW
Location Address509 OLD GREAT NECK RD STE 203Virginia Beach, VA 23454-3358
Mailing Address509 Old Great Neck Rd Ste 203Virginia Beach, VA 23454-3358
Phone(757) 520-1312
Sole ProprietorNo
Enumeration DateMay 5, 2022
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1952047748 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 VA · 0906012260
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.
509 OLD GREAT NECK RD STE 203, Virginia Beach, VA 23454
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Other Providers at the Same Location NPPES 16

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

ARIANNE KRIS EICHAS
Counselor (Professional)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Virginia Beach City (855) 284-7483
TIFFANY WEEKS
Social Worker (Clinical)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Virginia Beach City (571) 934-3936
DARYIA BIAROZKINA
Counselor (Professional)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Virginia Beach City (855) 284-7483
ROSSA CARMEN RIDLEY
Counselor (Professional)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Virginia Beach City (855) 284-7483
RACHEL AMANDA STEWART
Counselor (Professional)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Virginia Beach City (855) 284-7483
MARIA WATTERS
Social Worker (Clinical)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Virginia Beach City (855) 284-7483
KATARA JANENE RATLIFF LPC
Counselor (Professional)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Virginia Beach City (855) 284-7483
ANDREA LORNE SCOTT-MAGUIRE MSSW
Social Worker (Clinical)
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 520-1312

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 Tedra Ballard's NPI number?

The NPI number for Tedra Ballard is 1952047748. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Tedra Ballard located?

Tedra Ballard practices at 509 Old Great Neck Rd Ste 203, Virginia Beach, VA 23454. The listed phone number is (757) 520-1312.

What is Tedra Ballard's specialty?

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

When was this NPI record last updated?

The NPPES record for Tedra Ballard was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.