Active NPIIndividual providerSole proprietor

Ms. Bronwen B Ballou, LICSW

Social Worker, Clinical in Lebanon, New Hampshire

NPI Number1558485490
Practice location
367 State Route 120, Suite B1, Lebanon, NH 03766-1430
Fax
—
Last updated
July 8, 2007

Bronwen B. Ballou is a Social Worker, Clinical based in Lebanon, NH. Bronwen B. Ballou practices in Lebanon, NH and has the professional credentials of LICSW. The NPI Number for Bronwen B. Ballou is 1558485490 and holds a License No. 949 (NH). The current practice location address for Bronwen B. Ballou is 367 State Route 120, Suite B1, Lebanon, NH 03766-1430 and can be reached out via phone at 603-653-0199.

Provider Profile Details

NPI Number
1558485490
Provider Name
Bronwen B. Ballou
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
367 State Route 120, Suite B1, Lebanon, NH 03766-1430
Phone Number
603-653-0199
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
367 State Route 120
Suite B1
Lebanon, NH 03766-1430
Zip
03766-1430
Phone Number
603-653-0199
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
20 Dresden RD
Hanover, NH 03755-1322
City
Hanover
State
NH
Zip
03755-1322
Phone Number
603-643-8838

License Information

License Number
949
License State
NH
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Bronwen B Ballou, LICSW?

The NPI number of Ms. Bronwen B Ballou, LICSW is 1558485490. It was assigned on March 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Bronwen B Ballou, LICSW?

Ms. Bronwen B Ballou, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 949.

Where does Ms. Bronwen B Ballou, LICSW practice?

The practice location is 367 State Route 120, Suite B1, Lebanon, NH 03766-1430. The office can be reached at 603-653-0199 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558485490 directly on the NPPES registry website.

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