Provider Demographics
NPI:1801581921
Name:BALLARD, RASHIDA (MSW, LICSW, CDE)
Entity type:Individual
Prefix:MS
First Name:RASHIDA
Middle Name:
Last Name:BALLARD
Suffix:
Gender:F
Credentials:MSW, LICSW, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10408 17TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-1306
Mailing Address - Country:US
Mailing Address - Phone:206-650-6459
Mailing Address - Fax:
Practice Address - Street 1:310 3RD AVE NE STE 109
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-3346
Practice Address - Country:US
Practice Address - Phone:425-659-3010
Practice Address - Fax:425-441-0586
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW613448271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical