Active NPI
Cynthia J Bolt, LCSW
- Social Worker
- Arkadelphia, AR
National Provider Identifier
1275519308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1352-C
- Practice address
- 2503 Pine St
Arkadelphia, AR 71923-4358 - Phone
- (870) 210-6776
- NPI assigned
- Dec 20, 2005
- Last updated
- May 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1352-C | AR | Primary |
Addresses
Primary practice location
2503 Pine St
Arkadelphia, AR 71923-4358
Mailing address
612 Posey Rd
Sparkman, AR 71763-8812
Phone (870) 210-6776
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108585 | Other | AR | UNITED BEHAVIORAL HEALTH |
| 171587 | Other | AR | MHN INSURANCE CO. |
| 185564 | Other | AR | COMPSYCH INSURANCE CO. |
| 284791000 | Other | AR | MAGELLAN |
| 3070018100 | Other | AR | QUAL-CHOICE INS. CO. |
| 71-0401764 | Other | AR | CORP HEALTH INS. CO. |
| 2094883 | Other | AR | CIGNA BEHAVIORAL HEALTH |
| 5U127 | Other | AR | AR. BLUE CROSS & BS |
| 7997125 | Other | AR | AETNA INSURANCE COMPANY |
| 904545 | Other | AR | USA MANAGED CARE |
| 337594 | Other | AR | VALUE OPTIONS INSURANCE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1275519308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 POSEY RD",
"city": "SPARKMAN",
"state": "AR",
"postal_code": "717638812",
"telephone_number": "870-210-6776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 PINE ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719234358",
"telephone_number": "870-210-6776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLT",
"first_name": "CYNTHIA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "1352-C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "108585",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN INSURANCE CO.",
"identifier": "171587",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH INSURANCE CO.",
"identifier": "185564",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "284791000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL-CHOICE INS. CO.",
"identifier": "3070018100",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORP HEALTH INS. CO.",
"identifier": "71-0401764",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2094883",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR. BLUE CROSS & BS",
"identifier": "5U127",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE COMPANY",
"identifier": "7997125",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "904545",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS INSURANCE",
"identifier": "337594",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.