Heather Diane Balzomo
Social Worker (Clinical)

Address: 675 N 5th St, Lebanon, OR 97355-2875
Phone: 5414516282

Heather Diane Balzomo (NPI# 1598217408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1598217408
Entity Type Individual
Full Name Heather Diane Balzomo
Credential LCSW
Gender Female
Practice Address 675 N 5th St
Lebanon
OR 97355-2875
Practice Telephone 5414516282
Practice Fax Number 5418122038
Mailing Address 675 N 5th St
Lebanon
OR 97355-2875
Mailing Telephone 5414516282
Mailing Fax Number 5418122038
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2016-10-26
Last Update Date 2016-11-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers L7178 OR

Physician Overview

NPI 1598217408
PAC ID by PECOS 2466731062
Professional Enrollment ID I20161123001240
Full Name Heather Diane Balzomo
Organization Legal Name MID-VALLEY HEALTHCARE INC
Phone Number 5414516282
Gender F
Graduation Year 2007
Primary Specialty CLINICAL SOCIAL WORKER
Group Practice PAC ID 2769391523
Number of Group Practice Members 97
Accepts Medicare Assignment Y

Office Location

Street Address 675 N 5TH ST
City LEBANON
State OR
Zip Code 97355-2875

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902865124 Karen Elise Gaspardi Obstetrics & Gynecology 675 N 5th St, Lebanon, OR 97355-2875 2006-03-17
1912472143 Russell Matthew Wimmer Physician Assistant 675 N 5th St, Lebanon, OR 97355-2875 2018-10-03
1376033308 Stephanie Diane Gutierrez Physician Assistant 675 N 5th St, Lebanon, OR 97355 2018-05-15
1174041396 Elena Noemi Noonan Physician Assistant 675 N 5th St, Lebanon, OR 97355-2875 2017-09-07
1972047488 Devin Elizabeth Petschl Nurse Practitioner 675 N 5th St, Lebanon, OR 97355-2875 2016-12-19
1689026759 Hannah Mary Mcmahon Physician Assistant 675 N 5th St, Lebanon, OR 97355-2875 2016-07-12
1346653722 Robert Paulsen Michael Pediatrics 675 N 5th St, Lebanon, OR 97355-2875 2014-06-03
1902183619 Jessica Barton Lactation Consultant, Non-RN 675 N 5th St, Lebanon, OR 97355-2875 2011-11-09
1699063784 Mid-valley Healthcare, Inc. Durable Medical Equipment & Medical Supplies 675 N 5th St, Lebanon, OR 97355-2875 2011-07-11
1043501703 Karen Ann Johnston Pharmacist 675 N 5th St, Lebanon, OR 97355-2875 2011-04-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710465323 Jackie Welter Health Educator 35 Mullins Drvie Ste 3, Lebanon, OR 97355 2018-08-06
1689109605 Joshua C Nelson Student in an Organized Health Care Education/Training Program 701 N. 5th Street B2013, Lebanon, OR 97355 2017-04-27
1518415371 Kathleen Hillary Registered Nurse 525 North Santiam Highway, Lebanon, OR 97355 2016-09-21
1093162455 Sarah Mete Student in an Organized Health Care Education/Training Program 200 Mullins Dr, Lebanon, OR 97355 2016-05-16
1861849283 Emily Marshall Student in an Organized Health Care Education/Training Program 200 Mullins Drive, Lebanon, OR 97355 2016-05-16
1770956963 Jeff Parsons Occupational Therapist 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 2015-11-10
1003289588 Hong Ngoc Nguyen Pharmacist 675 N Fifth Street, Lebanon, OR 97355 2015-11-05
1801278049 Darrel A Decker Skilled Nursing Facility 350 8th Street, Lebanon, OR 97355 2015-06-24
1548654296 Victor Duong Student in an Organized Health Care Education/Training Program 200 Mullins Dr., Lebanon, OR 97355 2015-03-20
1679985113 State of Oregon Department of Veterans' Affairs Skilled Nursing Facility 600 N. 5th Street, Lebanon, OR 97355 2014-06-02
Find all providers in zip 97355

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760940175 Life Balance Counseling Ct, LLC Social Worker 69 West Woodland Drive, Lebanon, CT 06249 2019-03-05
1811453202 Jennifer Marie Plesh-fugate Social Worker 1700 S Lincoln Ave # 500, Lebanon, PA 17042-7529 2019-02-11
1932676590 Margaret Mary Panageas Social Worker 6 Camelot Ct, Lebanon, NJ 08833-4003 2018-10-31
1609313899 Paul Trubey Social Worker 59 Taylor Bridge Rd, Lebanon, CT 06249-2426 2017-01-25
1033580345 Leah E Abrahamsen Social Worker 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 2015-10-13
1336571231 Lori Ann De Leo Social Worker 109 Autumn Creek, Lebanon, TN 37087 2013-08-01
1518244417 Beverly A. Vermeer Social Worker 79 Hanover St, Lebanon, NH 03766-1000 2011-11-07
1346526704 George John Duhaime Social Worker 263 Randall Rd, Lebanon, CT 06249-2628 2011-10-31
1639468291 Patricia E Habenicht Social Worker 975 Fujitec Dr, Lebanon, OH 45036-8336 2011-04-05
1891923447 Jennifer Lanham Social Worker 305 E M L King Ave, Suite A, Lebanon, KY 40033-1554 2009-06-22
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 97355

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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