Individual ProviderJodie Olga BallSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4115 Boardwalk Drive, Ft. Collins, CO 80525(970) 493-4580PECOS EnrollmentThis provider is enrolled in PECOS as JODIE BALL.Based on the most recent information from CMS, provider Jodie Olga Ball is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1356850846Provider TypeIndividualFull NameBall, Jodie OlgaTitleMrs.CredentialLCSW, LACGenderFemaleSole ProprietorNoEnumeration Date9/27/2017Last Updated12/8/2021Contact InformationPractice LocationPractice Address4115 Boardwalk Drive, Ft. Collins, CO 80525Phone(970) 493-4580Fax(970) 797-2859Mailing LocationMailing Address4115 Boardwalk Drive, Ft. Collins, CO 80525Phone(970) 493-4580Fax(970) 797-2859Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLSW.09926250ColoradoCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLSW.0009921707ColoradoProvider IdentifiersIDDescriptionIssuerID9000154372DescriptionMedicaidIssuerUnlistedColorado