Judy Bolanos
Social Worker, Clinical in New London, Connecticut
1629425384- Practice location
- 21 Montauk Ave, New London, CT 06320-4906
- Phone
- 860-439-6416
- Fax
- 860-390-1463
- Last updated
- September 12, 2025
Judy Bolanos is a Social Worker, Clinical based in New London, CT. Judy Bolanos practices in New London, CT. The NPI Number for Judy Bolanos is 1629425384 and holds a License No. 010448 (CT). The current practice location address for Judy Bolanos is 21 Montauk Ave, New London, CT 06320-4906 and can be reached out via phone at 860-439-6416 and via fax at 860-390-1463.
Provider Profile Details
- NPI Number
- 1629425384
- Provider Name
- Judy Bolanos
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21 Montauk Ave, New London, CT 06320-4906
- Phone Number
- 860-439-6416
- Fax Number
- 860-390-1463
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2016
- Last Update Date
- September 12, 2025
- Certification Date
- September 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Montauk Ave
New London, CT 06320-4906 - City
- New London
- State
- Connecticut
- Zip
- 06320-4906
- Phone Number
- 860-439-6416
- Fax Number
- 860-390-1463
Provider Business Mailing Address Details
- Address
- 995 Day Hill RD
Windsor, CT 06095-1722 - City
- Windsor
- State
- CT
- Zip
- 06095-1722
- Phone Number
- 860-731-5522
- Fax Number
- 860-731-5536
License Information
- License Number
- 010448
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near New London, CT
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- Beverly J Carr, LCSWSocial Worker, Clinical · NPI 1952529513
- Calvin T Berg, LCSWSocial Worker, Clinical · NPI 1295305944
- Catherine Bates, MSWSocial Worker, Clinical · NPI 1700292562
- Chrystal A Canova, LCSWSocial Worker, Clinical · NPI 1063995124
Frequently Asked Questions
What is the NPI number of Judy Bolanos?
The NPI number of Judy Bolanos is 1629425384. It was assigned on May 23, 2016 and is currently active in the NPPES registry.
What is the specialty of Judy Bolanos?
Judy Bolanos is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 010448.
Where does Judy Bolanos practice?
The practice location is 21 Montauk Ave, New London, CT 06320-4906. The office can be reached at 860-439-6416 (phone) or 860-390-1463 (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 1629425384 directly on the NPPES registry website.