NPI 1023748407

Amory E.W. Ballantine, LICSW

Practitioner Clinical Social Worker Olympia, WA

Practice location

Address: 413 Lilly Rd NE, Olympia, WA 98506-5133
Phone: (360) 491-9480
Fax: (360) 456-2413
Mailing address: 413 Lilly Rd NE, Olympia, WA 98506-5166

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LW61652720 (WA)

Other Social Worker providers in Washington →

Registry record

NPI: 1023748407
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2022
Record last updated: 28 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.