Active NPI
Lilian Inutu Bollers, LCSW-C, LICSW
- Clinical Social Worker
- Plano, TX
National Provider Identifier
1003133992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56962
- Practice address
- 7101 Chase Oaks Blvd 128
Plano, TX 75025-5909 - Phone
- (240) 731-0457
- NPI assigned
- Apr 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15529 | MD | |
| Clinical Social Worker | 1041C0700X | LC50078619 | DC | |
| Clinical Social Worker | 1041C0700X | 56962 | TX | Primary |
Addresses
Primary practice location
7101 Chase Oaks Blvd 128
Plano, TX 75025-5909
Mailing address
7101 Chase Oaks Blvd Apt 128
Plano, TX 75025-5909
Phone (240) 631-8387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50078619 | DC | MD | Clinical Social Worker |
| 56962 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1003133992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 CHASE OAKS BLVD APT 128",
"city": "PLANO",
"state": "TX",
"postal_code": "750255909",
"telephone_number": "240-631-8387",
"fax_number": "240-631-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 CHASE OAKS BLVD 128",
"city": "PLANO",
"state": "TX",
"postal_code": "750255909",
"telephone_number": "240-731-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLERS",
"first_name": "LILIAN",
"middle_name": "INUTU",
"name_prefix": "Mrs.",
"credential": "LCSW-C, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-30",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15529",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50078619",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.