Provider Demographics
NPI:1528401437
Name:BALL, STEVEN I (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:I
Last Name:BALL
Suffix:
Gender:M
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 WASHINGTON ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3338
Mailing Address - Country:US
Mailing Address - Phone:917-696-3328
Mailing Address - Fax:212-691-5396
Practice Address - Street 1:626 WASHINGTON ST APT 3B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3338
Practice Address - Country:US
Practice Address - Phone:917-696-3328
Practice Address - Fax:212-691-5396
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043034-R101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health