Provider Demographics
NPI:1528022290
Name:BALBICK, NANCY J (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:J
Last Name:BALBICK
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-1151
Mailing Address - Country:US
Mailing Address - Phone:585-356-2443
Mailing Address - Fax:
Practice Address - Street 1:189 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1151
Practice Address - Country:US
Practice Address - Phone:585-356-2443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0297011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000590362001OtherBLUECROSS/BLUESHIELD
NY6212810OtherINDEPENDENT HEALTH
NY6212810OtherINDEPENDENT HEALTH