Sharon Jude Bolin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63638 Issued in TX

Practice address

403 E Ramsey Rd Ste 204
San Antonio, TX 78216-4662

Phone

(210) 323-1731

Fax

(844) 444-1051

NPI assigned

Aug 19, 2019

Last updated

Feb 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CO2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nueva Vida Behavioral Health Associates,Inc

  • Professional Counselor
  • San Antonio, TX
  • NPI 1669565529
  Medicare reassignment NPD
• Esperanza Eating Disorders Center, PLLC

  dba Esperanza Eating Disorders Center

  • Psychiatric Hospital
  • San Antonio, TX
  • NPI 1780246942
  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1154978823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 MARGARITA PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193593",
            "telephone_number": "210-323-1731",
            "fax_number": "844-444-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E RAMSEY RD STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164662",
            "telephone_number": "210-323-1731",
            "fax_number": "844-444-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7430 Margarita Pl",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809193593",
            "country_code": "US",
            "telephone_number": "210-323-1731",
            "fax_number": "844-444-1051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "SHARON",
        "middle_name": "JUDE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927263",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Bolding
• Boldly Go, Inc.
• David H Boldt, M.D.
• Carlee C Boles, DDS
• Brandon L Bolfing, MD
• Leocarina Bolivar
• Jean Boller, M.S.,CCC-A
• Christine Bollom, DNP, APRN, FNP-BC
• Teresa Suzanne Bolser
• Ashley Patricia Bolton

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.