MR. JAMES JOSEPH BALZA (LCSW) – Clinical Social Worker, NPI 1720242555

MR. JAMES JOSEPH BALZA (LCSW) is a healthcare provider. based in Green bay, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 998-123 (WI). The NPI Number for MR. JAMES JOSEPH BALZA (LCSW) is 1720242555

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES JOSEPH BALZA (LCSW)
NPI
1720242555
Phone
(920) 288-5500
Address
1160 KEPLER DR
Enumeration Date
10 July 2008
Last Update Date
25 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204976161
Graduation Year
1984 (42 years ago)
PAC ID
1658417373
Group Practice PAC ID
8022154749
Professional Enrollment ID
I20091012000216
Address ID
WI543042252GR1499XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for MR. JAMES JOSEPH BALZA (LCSW)

  • 1160, Kepler Drive, Green Bay, Brown County, Wisconsin, 54311, United States

    GREEN BAY, WI 543118321

    Phone: (920) 288-5500

    Fax: (920) 288-5510

    Type: Location

  • 1499 6TH ST

    GREEN BAY, WI 543042252

    Phone: (920) 497-6161

    Fax: (920) 498-0476

    Type: Location

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: 2009-10-12

PECOS data refreshed: 2026-05-27

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
I20091012000216IClinical Social WorkerWITBD

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 54311)

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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: 8022154749View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Clinical Social WorkerWI
-WI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Nurse PractitionerWI
Nurse PractitionerWI
Clinical Social WorkerWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

How do payers reference MR. JAMES JOSEPH BALZA (LCSW)?
For MR. JAMES JOSEPH BALZA (LCSW), use NPI 1720242555 as the unique 10-digit identifier.
Is there an active status for MR. JAMES JOSEPH BALZA (LCSW)?
For scheduling context, MR. JAMES JOSEPH BALZA (LCSW) is shown as active in the registry.
What expertise is attributed to MR. JAMES JOSEPH BALZA (LCSW)?
MR. JAMES JOSEPH BALZA (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. JAMES JOSEPH BALZA (LCSW) located near Green Bay?
MR. JAMES JOSEPH BALZA (LCSW) currently maps to Green Bay, Wisconsin in this extract.
When was this NPI issued?
Enumeration for MR. JAMES JOSEPH BALZA (LCSW) is noted as July 10, 2008 where the registry provides it.

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