Micah Bolden, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107915 Issued in TX

Practice address

8204 Elmbrook Dr Ste 260
Dallas, TX 75247-4067

Phone

(214) 351-1775

NPI assigned

Jul 3, 2023

Sex

Male

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

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

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

• Bold Steps Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dallas, TX
  • NPI 1710865498
  NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1174200018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 HAINES AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084042",
            "telephone_number": "706-333-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 ELMBROOK DR STE 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474067",
            "telephone_number": "214-351-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 Haines Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752084042",
            "country_code": "US",
            "telephone_number": "706-333-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "MICAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09932236",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Gina Bolanos
• Bold Steps ABA of TX LLC
• Bold Steps Therapy PLLC
• Nomin Bold, MD
• Jaimaya Bolden
• Ruby Gladys Bolden, M.D.
• Larry Bolding Jr., MS, LPC
• Octavia Bolds
• Margot Boles, M.ED., BCBA
• Michael Joseph Bolesta, MD

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, 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 Aug 30, 2025; 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.