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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS TEDRA SHANISE BALLARD, MSW

Active

MISS TEDRA SHANISE BALLARD, MSW is a Clinical Social Worker healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1952047748 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · VIRGINIA BEACH, VA

Registration Details

NPI Number
1952047748
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2022 (4.2423608382198 yrs)
Last Updated
Oct 3, 2023
License
0906012260 (VA)

Practice Information

Address
509 OLD GREAT NECK RD STE 203
VIRGINIA BEACH, VA, 234543358
Browse VA providers · Browse ZIP 23454
Phone
7575201312
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in VIRGINIA BEACH, VA

Name Credential NPI
MICHAEL JAN KUBAT LCSW 1184629164
MS. MARY H GAY L.C.S.W. 1497754113
PRISCILLA L BALLSUN LCSW 1699767558
CLAUDIA L BROWN LCSW 1447243530
MR. DOUGLAS G. MORIN LCSW 1447245543
E JEANNE SALEMI LCSW 1487642815
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.