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NPI Code Detail

MEDICARE: ESTELA BALLARD LCSW

MEDICARE: ESTELA BALLARD LCSW
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
11041C0700XClinical Social WorkerLCSW68510CA

General Provider Information

NPI Number : 1225319825
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTELA BALLARD LCSW
Provider Business Mailing Address
First Line : 5501 STOCKDALE HWY
Second Line : PO BOX 9482
City : BAKERSFIELD
State : CA
Zip : 93309-2572
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 225 CABRILLO HWY S STE 200A
Second Line :
City : HALF MOON BAY
State : CA
Zip : 94019-7210
Country : US
Telephone Number : 650-726-6369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2011
Last Update Date : 01/20/2023

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Directions to “ ESTELA BALLARD LCSW” Practice Location

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