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

Individual provider Clinical Social Worker · NPI 1235548793

Jaime Samantha Balis, LCSW is a Clinical Social Worker in Jericho, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

82 Bounty Ln
Jericho, NY 11753-2210
Phone: (516) 312-5739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 086530-01 (NY)

Record details

NPI number1235548793
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 10, 2014
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

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