Ball, Jodie Olga

Ball, Jodie Olga is an individual health care provider with primary practice located at 4115 Boardwalk Drive , Ft. Collins CO 80525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ball, Jodie Olga can be contacted via phone (970) 493-4580.

Contact Information

Primary practice address
4115 Boardwalk Drive Ft. Collins CO 80525
Phone: (970) 493-4580
Fax: (970) 797-2859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW.0009921707 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW.09926250 Colorado

Profile Details

NPI number 1356850846
LBN Legal business name Ball, Jodie Olga
Credentials LCSW, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2017
Last updated Dec 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356850846 NPPES
Colorado MEDICAID 9000154372

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