Individual provider Active NPI

Eleanor Arlene Bolar, PH.D., LISW-S, LICDC

  • Clinical Social Worker
  • Blue Ash, OH
National Provider Identifier
1184071391
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
10945 Reed Hartman Hwy Ste 216
Blue Ash, OH 45242-2853
Phone
(513) 418-8820
Fax
(513) 496-2420
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

10945 Reed Hartman Hwy Ste 216
Blue Ash, OH 45242-2853

Mailing address

11851 Elkwood Dr
Cincinnati, OH 45240-1541

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)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Bolar Therapy and Consulting Center, LLC Clinical CurrentSince Jan 12, 2020 Accepting new patients

Locations

10945 Reed Hartman Hwy
Ste 216
Blue Ash, OH 45242
Phone (513) 418-8820

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1184071391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 ELKWOOD DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 REED HARTMAN HWY STE 216",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422853",
            "telephone_number": "513-418-8820",
            "fax_number": "513-496-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAR",
        "first_name": "ELEANOR",
        "middle_name": "ARLENE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LISW-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.