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

Elizabeth Anne Balle, CERTIFIEDSOCIALWOR

Individual provider Clinical Social Worker · NPI 1497290555

Elizabeth Anne Balle, CERTIFIEDSOCIALWOR is a Clinical Social Worker in Provo, Utah. Qualified in 2010, 16 years ago. Practices with Mountainlands Community Health Center Inc, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

589 S State St
Provo, UT 84606-5056
Phone: (801) 429-2000
Fax: (801) 429-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 285 N 1250 E Ste 103, Payson, UT 84651-5794 — (801) 429-2000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8579993-3502 (UT)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1497290555
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFIEDSOCIALWOR
Sole proprietorNo
NPI enumeratedDecember 28, 2016
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mountainlands Community Health Center Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Provo