Kaylee Maude Bolar, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

555 S Perryville Rd Ste 222
Rockford, IL 61108-2527

Phone

(815) 331-1023

NPI assigned

Oct 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Becoming Free Counseling Services PLLC

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1972379535
  NPD
• Roan Solutions LLC

  • Clinical Social Worker
  • Elgin, IL
  • NPI 1639761638
  NPD (past)

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1255154019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 CUMBERLAND ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611034766",
            "telephone_number": "773-733-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S PERRYVILLE RD STE 222",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082527",
            "telephone_number": "815-331-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 E Chicago St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601205810",
            "country_code": "US",
            "telephone_number": "815-522-1719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLAR",
        "first_name": "KAYLEE",
        "middle_name": "MAUDE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lynn Bogen, PT, DPT, ATC
• Roger A Bohn, MD
• Mary Frances Bohne, DNP, APRN, FNP-C
• Nancy Kerber Bokermann, P.T.
• Mitchell Walter Bokowy
• Nancy Ann Boldt, CCC-SLP
• Penny Bolen, RD, LDN
• Patricia A Bomkamp, RD,LDN
• Kelly S Bond, D.C.
• Regina Sue Bonnell, LMT

• Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.