Jaime L Bollmann Sr., LCSW, CSAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7365 Issued in WI

Practice address

311 Elm St
Woodruff, WI 54568-9149

Phone

(715) 356-8540

NPI assigned

Oct 12, 2006

Last updated

Sep 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaime.bollmann.1@8439.direct.athenahealth.com
• Direct secure messaging: jaimebollmann@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forest County Potawatomi Community

  dba Potawatomi Health & Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Crandon, WI
  • NPI 1285741306
  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1083704118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ELM ST",
            "address_2": "P.O. BOX 470",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689149",
            "telephone_number": "715-356-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ELM ST",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689149",
            "telephone_number": "715-356-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLMANN",
        "first_name": "JAIME",
        "middle_name": "L",
        "name_suffix": "Sr.",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15250",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "7365",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "126447-121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bassette, PT
• Holly L Beede McKinney, APNP
• Robert Birk Jr., PA-C
• Lauren Bisonic, PHARMD
• Karen A Blaschke, OT
• Noimy Tan Bolz, PT, CLT
• Robert M Borger, BS, RPH
• Mary Joy G Borton, PT
• Buffington Optometry LLC
• Kathleen Erin Buffington, O.D.

• Social Worker in Woodruff, WI
• Providers in Woodruff, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.