Active NPIIndividual providerSole proprietor

Michelle H Bolen, LCSW

Social Worker, Clinical in Windham, Maine

NPI Number1154330975
Practice location
744 Roosevelt Trl Ste 302A, Windham, ME 04062-5281
Fax
207-892-7797
Last updated
October 20, 2009

Michelle H. Bolen is a Social Worker, Clinical based in Windham, ME. Michelle H. Bolen practices in Windham, ME and has the professional credentials of LCSW. The NPI Number for Michelle H. Bolen is 1154330975 and holds a License No. LC4444 (ME). The current practice location address for Michelle H. Bolen is 744 Roosevelt Trl Ste 302A, Windham, ME 04062-5281 and can be reached out via phone at 207-892-7797 and via fax at 207-892-7797.

Provider Profile Details

NPI Number
1154330975
Provider Name
Michelle H. Bolen
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
744 Roosevelt Trl Ste 302A, Windham, ME 04062-5281
Phone Number
207-892-7797
Fax Number
207-892-7797
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 8, 2006
Last Update Date
October 20, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
744 Roosevelt Trl Ste 302A
Windham, ME 04062-5281
State
Maine
Zip
04062-5281
Phone Number
207-892-7797
Fax Number
207-892-7797
Windham, ME 04062Get directions →

Provider Business Mailing Address Details

Address
744 Roosevelt Trl Ste 302A
Windham, ME 04062-5281
City
Windham
State
ME
Zip
04062-5281
Phone Number
207-892-7797
Fax Number
207-892-7797

License Information

License Number
LC4444
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle H Bolen, LCSW?

The NPI number of Michelle H Bolen, LCSW is 1154330975. It was assigned on August 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Michelle H Bolen, LCSW?

Michelle H Bolen, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC4444.

Where does Michelle H Bolen, LCSW practice?

The practice location is 744 Roosevelt Trl Ste 302A, Windham, ME 04062-5281. The office can be reached at 207-892-7797 (phone) or 207-892-7797 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154330975 directly on the NPPES registry website.

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