Tracy Ann Bolyard, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2304218 Issued in OH

Practice address

121 Cleveland Ave SW
Canton, OH 44702-1903

Phone

(330) 439-2114

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tracy Ann Bolyard Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anazao Community Partners

  • Community/Behavioral Health Agency
  • Wooster, OH
  • NPI 1073873923
  NPD (past)
• Anazao Community Partners

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wooster, OH
  • NPI 1164471082
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746921600000",
    "number": "1235799412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CLEVELAND AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021903",
            "telephone_number": "330-439-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CLEVELAND AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021903",
            "telephone_number": "330-439-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLYARD",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "BOLYARD",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arielle Elizabeth Bokisa, M.D.
• Jamie Lynn Bole, CNP
• Cynthia G. Boley, QMHS
• Brooks E Bolyard, MD
• Jennifer Bolyard, MD
• Gregory J. Bonavita, M.D.
• Elizabeth Ann Bonchek
• Justin Boney, LPCC-S
• Kevin Bonner
• Robin Bonner

• Clinical Social Worker in Canton, OH
• Providers in Canton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2025; 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.