NPI 1083167944 · live from the CMS NPI Registry
Monica Ballard-Booth, MA, LSW
Psychologist, Clinical in Madison, WV. National Provider Identifier 1083167944, active.
NPI record
| NPI | 1083167944 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 331 State St, Suite 300, Madison, WV 25130 |
| Practice phone | 304-369-5283 |
| Enumerated | July 27, 2016 |
| Last updated | May 20, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 1135 (WV) |
| Social Worker | 104100000X | AP00941739 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.