PRISCILLA L BALLSUN (LCSW) – Clinical Social Worker, NPI 1699767558

PRISCILLA L BALLSUN (LCSW) is a healthcare provider. based in Baltimore, Maryland. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LC302148 (DC). The NPI Number for PRISCILLA L BALLSUN (LCSW) is 1699767558

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
PRISCILLA L BALLSUN (LCSW)
NPI
1699767558
Phone
Not provided
Address
PO BOX 631878
Enumeration Date
17 August 2005
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8042076737
Graduation Year
1987 (39 years ago)
PAC ID
5193745669
Group Practice PAC ID
0941288583
Professional Enrollment ID
I20250918003111
Address ID
VA234527350VI575XXPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for PRISCILLA L BALLSUN (LCSW)

  • Box Circle, Victory Villa, Middle River, Baltimore County, Maryland, 21221, United States

    BALTIMORE, MD 212631878

    Phone:

    Type: Mailing

  • MedStar Georgetown University Hospital, 3800, Reservoir Road Northwest, Burleith/Hillandale, Georgetown, Washington, Washington, D.C., 20007, United States

    WASHINGTON, DC 200072113

    Phone: (202) 687-8609

    Type: Location

  • 575 LYNNHAVEN PKWY STE 305

    VIRGINIA BEACH, VA 234527350

    Phone: (804) 207-6737

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250918003111IClinical Social WorkerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21263)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941288583View full group profile
NameSpecialtyState
-VA
Nurse PractitionerVA
Nurse PractitionerVA
Certified Clinical Nurse Specialist (Cns)MA
Mental Health CounselorVA
Clinical Social WorkerNC
-VA
Nurse PractitionerVA
Clinical PsychologistVA
Mental Health CounselorVA

Reviews

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Frequently asked questions

How do I look up PRISCILLA L BALLSUN (LCSW) by NPI?
Use NPI 1699767558 when you need to reference PRISCILLA L BALLSUN (LCSW) in forms, claims, or directories.
Is PRISCILLA L BALLSUN (LCSW)'s NPI currently valid?
The extract we use shows PRISCILLA L BALLSUN (LCSW) as active.
What kind of provider is PRISCILLA L BALLSUN (LCSW)?
The page reflects Clinical Social Worker for PRISCILLA L BALLSUN (LCSW). Clinical services aligned with this taxonomy classification.
Where is PRISCILLA L BALLSUN (LCSW)'s primary listing?
We display Baltimore, Maryland because that is what the record indicates for PRISCILLA L BALLSUN (LCSW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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