Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amory E.w. Ballantine, LICSW

Individual provider Clinical Social Worker · NPI 1023748407

Amory E.w. Ballantine, LICSW is a Clinical Social Worker in Olympia, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone: (360) 491-9480
Fax: (360) 456-2413
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3408 S Union Ave, Tacoma, WA 98409-3140 — (253) 565-4887

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61652720 (WA)

Record details

NPI number1023748407
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 16, 2022
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address413 Lilly Rd Ne, Olympia, WA 98506-5166

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