| Amory Ew Ballantine, LICSW | |
|
413 Lilly Rd Ne, Olympia, WA 98506-5133 | |
| (360) 491-9480 | |
| (360) 456-2413 |
| Full Name | Amory Ew Ballantine |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 3 Years |
| Location | 413 Lilly Rd Ne, Olympia, Washington |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023748407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW61652720 (Washington) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Amory Ew Ballantine, LICSW 413 Lilly Rd Ne, Olympia, WA 98506-5166 Ph: (360) 491-9480 | Amory Ew Ballantine, LICSW 413 Lilly Rd Ne, Olympia, WA 98506-5133 Ph: (360) 491-9480 |
Lauren Mallory, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3435 Martin Way E Ste H-1, Olympia, WA 98506 Phone: 360-480-5388 | |
Dylan Jennings Shearer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 908 5th Ave Se, Olympia, WA 98501 Phone: 360-316-6777 | |
Sharon E Boyle-connelly, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Ms. Patricia A Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 4th Ave E Ste 200, Olympia, WA 98506 Phone: 360-570-1161 Fax: 360-786-1089 | |
Toni Principe, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2120 State Ave Ne, Olympia, WA 98506 Phone: 360-207-0660 Fax: 360-515-4753 | |
Crystal Elizabeth Garcia, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4932 Siskiyou Loop Se, Olympia, WA 98501 Phone: 360-790-8602 Fax: 360-925-3037 |