Izetta Briggs-Bolling, DSW, LCSW, LMHC, CAS

Primary specialty

Social WorkerTaxonomy code 104100000X

License

087722 Issued in NY

Practice address

2462 Route 302
Middletown, NY 10941-3230

Phone

(845) 313-4494

NPI assigned

May 28, 2010

Sex

Female

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 NY

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Supports for Living IncGroup PAC ID 8729992730, 41 clinicians

Practice addresses (Care Compare)

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.

• Access: Supports for Living Inc

  • Multi-Specialty Clinic/Center
  • Middletown, NY
  • NPI 1528174976

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Council on Alcoholism & Drug Abuse of Sullivan County

  • Substance Abuse Rehabilitation Facility
  • Monticello, NY
  • NPI 1164778460
  NPD (past) Authorized official
• Council on Alcoholism and Drug Abuse of Sullivan Co., Inc.

  • Substance Abuse Rehabilitation Facility
  • Monticello, NY
  • NPI 1437238706
  NPD (past) Authorized official
• Access: Supports for Living Inc

  • Community/Behavioral Health Agency
  • Middletown, NY
  • NPI 1215122361
  NPD
• Access: Supports for Living Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1790326320
  NPD

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1265751382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WOODLAKE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404274",
            "telephone_number": "845-313-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 ROUTE 302",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109413230",
            "telephone_number": "845-313-4494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16-24 Union street",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109401094",
            "country_code": "US",
            "telephone_number": "845-421-1838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGGS-BOLLING",
        "first_name": "IZETTA",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW, LMHC, CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087722",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Bray
• Stephanie E Brenner, FNP-BC
• Maureen Brett Mohyla, NP CNM
• Bridgette a. Simmons LCSW PC
• Cheryl A. Briggins, APN-BC
• Jessica Lynn Brinkmann
• Jessica Lynn Brinson, LCSW
• Benjamin Brisman
• Lakeisha Bristow, NP
• Shawn Joseph Brito, M.D.

• Social Worker in Middletown, NY
• Providers in Middletown, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
• 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.