NPI 1568028025 · live from the CMS NPI Registry
Michael S Balliro, LCSW
Social Worker, Clinical in Dover, DE. National Provider Identifier 1568028025, active.
NPI record
| NPI | 1568028025 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 642 S Queen St Ste 102, Dover, DE 19904 |
| Practice phone | 800-818-8680 |
| Mailing address | 1000 Midway Dr Ste 3, Harrington, DE 19952 |
| Enumerated | May 10, 2019 |
| Last updated | May 10, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | Q1-0001671 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.