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

Staci Balliet

Individual provider Clinical Social Worker · NPI 1053019661

Staci Balliet is a Clinical Social Worker in Brea, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1585 Honeywood Ct
Brea, CA 92821-2735
Phone: (714) 510-0101
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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 109631 (CA)

Record details

NPI number1053019661
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 22, 2023
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address1585 Honeywood Ct, Brea, CA 92821-2735

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