MEDICARE: ALLYSON BALL LISW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	I.2506846	OH
2	104100000X	Social Worker	I.2506846	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154068385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON BALL LISW

Provider Business Mailing Address
First Line	:	401 E. MARKET ST.
Second Line	:
City	:	CELINA
State	:	OH
Zip	:	45822-1736
Country	:	US
Telephone Number	:	419-584-5123
Fax Number	:	567-890-7214

Provider Business Practice Location Address
First Line	:	1820 C ST.
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45804-1832
Country	:	US
Telephone Number	:	419-584-5123
Fax Number	:	567-890-7214

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	10/27/2025

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Directions to “ ALLYSON BALL LISW” Practice Location

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