Active NPIIndividual providerSole proprietor

Dr. Izetta Briggs-Bolling, DSW, LCSW, LMHC, CAS

Social Worker in Middletown, New York

NPI Number1265751382
Practice location
2462 Route 302, Middletown, NY 10941-3230
Fax
—
Last updated
February 26, 2025

Izetta Briggs-Bolling is a Social Worker based in Middletown, NY. Izetta Briggs-Bolling practices in Middletown, NY and has the professional credentials of DSW, LCSW, LMHC, CAS. The NPI Number for Izetta Briggs-Bolling is 1265751382 and holds a License No. 087722 (NY). The current practice location address for Izetta Briggs-Bolling is 2462 Route 302, Middletown, NY 10941-3230 and can be reached out via phone at 845-313-4494.

Provider Profile Details

NPI Number
1265751382
Provider Name
Izetta Briggs-Bolling
Credential
DSW, LCSW, LMHC, CAS
Provider Entity Type
Individual
Gender
Female
Address
2462 Route 302, Middletown, NY 10941-3230
Phone Number
845-313-4494
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 28, 2010
Last Update Date
February 26, 2025
Certification Date
February 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2462 Route 302
Middletown, NY 10941-3230
Zip
10941-3230
Phone Number
845-313-4494
Middletown, NY 10941Get directions →

Provider Business Mailing Address Details

Address
37 Woodlake Dr
Middletown, NY 10940-4274
City
Middletown
State
NY
Zip
10940-4274
Phone Number
845-313-4496

License Information

License Number (1)
087722
License State (1)
NY
Taxonomy (1)
Social Worker · 104100000X · Primary
License Number (2)
003343
License State (2)
NY
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

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 Dr. Izetta Briggs-Bolling, DSW, LCSW, LMHC, CAS?

The NPI number of Dr. Izetta Briggs-Bolling, DSW, LCSW, LMHC, CAS is 1265751382. It was assigned on May 28, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Izetta Briggs-Bolling, DSW, LCSW, LMHC, CAS?

Dr. Izetta Briggs-Bolling, DSW, LCSW, LMHC, CAS is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 087722.

Where does Dr. Izetta Briggs-Bolling, DSW, LCSW, LMHC, CAS practice?

The practice location is 2462 Route 302, Middletown, NY 10941-3230. The office can be reached at 845-313-4494 (phone).

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 1265751382 directly on the NPPES registry website.

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