MEDICARE: SYDNEY ROSE BALGO

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	103830	CA
2	1041C0700X	Clinical Social Worker	260035	KY

General Provider Information

NPI Number	:	1023720406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY ROSE BALGO

Provider Business Mailing Address
First Line	:	220 MCNEASE RD
Second Line	:
City	:	PARIS
State	:	KY
Zip	:	40361-9700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 MCNEASE RD
Second Line	:
City	:	PARIS
State	:	KY
Zip	:	40361-9700
Country	:	US
Telephone Number	:	415-651-5384
Fax Number	:

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

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	05/12/2026

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Directions to “ SYDNEY ROSE BALGO ” Practice Location

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