Krishna Bolling, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0906011605 Issued in VA

Practice address

636 Ravenwoods Dr
Chesapeake, VA 23322-2754

Phone

(757) 286-2224

NPI assigned

Jun 10, 2022

Last updated

Jun 17, 2022By 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 2

Addresses

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Level Up Counseling and Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chesapeake, VA
  • NPI 1114658465
  NPD

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1255061503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 RAVENWOODS DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222754",
            "telephone_number": "757-286-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RAVENWOODS DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222754",
            "telephone_number": "757-286-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLING",
        "first_name": "KRISHNA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903003041",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0906011605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "636 Ravenwoods Dr",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233222754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Marie Boger
• Cassandra Bogosian, COTA/L
• Kawena Rose Bohn, PA-C
• Albert Dean Bohon Jr., O.D.
• Brittany Leah Bollenberg, MED, BCABA
• Kendra L Bomgardner, MOT, ORT/L
• Bon Secours Depaul Medical Center (Bon Secours Fastcare)
• Bon Secours Depaul Medical Center Inc (Bon Secours Greenbrier Medical Associates)
• Tonya Bond, RESIDENT IN COUNSELI
• Taleisha Bondhill

• Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.