NPI 1306084355 · live from the CMS NPI Registry
Michael Charles Ballard, L.C.S.W.
Social Worker, Clinical in North Little Rock, AR. National Provider Identifier 1306084355, active.
NPI record
| NPI | 1306084355 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2200 Fort Roots Dr, North Little Rock, AR 72114 |
| Practice phone | 501-257-3216 |
| Mailing address | 2412 N Fillmore St, Little Rock, AR 72207 |
| Enumerated | January 29, 2009 |
| Last updated | January 29, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | C-1138 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.