MEDICARE: MS. MARIA ELENA BALLESTEROS 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
1	1041C0700X	Clinical Social Worker	PO63862-1	NY

General Provider Information

NPI Number	:	1750412045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIA ELENA BALLESTEROS LCSW

Provider Business Mailing Address
First Line	:	300 ALBANY ST
Second Line	:	3C
City	:	NEW YORK
State	:	NY
Zip	:	10280-1404
Country	:	US
Telephone Number	:	212-227-9081
Fax Number	:	212-927-6089

Provider Business Practice Location Address
First Line	:	3940 BROADWAY
Second Line	:	2ND FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10032-1543
Country	:	US
Telephone Number	:	212-781-5500
Fax Number	:	212-927-6089

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1801236013 — WALGREEN CO
Practice Location Address:

3954 BROADWAY
NEW YORK, NY
10032-1543

Practice Phone: 646-968-4000
Practice Fax: 646-968-4001

1386398063 — CHRISTOPHER YU
Practice Location Address:

3954 BROADWAY
NEW YORK, NY
10032-1543

Practice Phone: 646-968-4000
Practice Fax: 646-968-4001

1205223278 — EDWARD FERNANDEZ, PSYD
Practice Location Address:

114 E 90TH ST APT 1A
NEW YORK, NY
10128-1543

Practice Phone: 917-686-8020
Practice Fax:

1497232482 — LLOYD PSYCHOLOGICAL SERVICES, PLLC
Practice Location Address:

114 E 90TH ST APT 1A
NEW YORK, NY
10128-1543

Practice Phone: 212-971-9777
Practice Fax: 212-971-9779

1275018194 — ALYSSA DEVANE M.S., CF-SLP
Practice Location Address:

1543 CHESTER HWY
YORK, SC
29745-2188

Practice Phone: 803-684-1942
Practice Fax:

1396554929 — JENNIFER JO HOEBELHEINRICH
Practice Location Address:

628 E 20TH ST
YORK, NE
68467-1543

Practice Phone: 402-710-0671
Practice Fax:

Directions to “ MS. MARIA ELENA BALLESTEROS LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.