Active NPI
Bolick Counseling Services, PLLC
- Clinical Social Worker
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003888
- Legal business name
- BOLICK COUNSELING SERVICES, PLLC
- Practice address
- 1300 SE Maynard Rd
Suite 103
Cary, NC 27511-3602 - Phone
- (919) 380-0127
- NPI assigned
- Apr 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jeanne Latimer Bolick, LCSW
- Title
- Owner
- Phone
- (919) 854-0560
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003888 | NC | Primary |
Addresses
Primary practice location
1300 SE Maynard Rd
Suite 103
Cary, NC 27511-3602
Mailing address
109 Windrock LN
Cary, NC 27511-9766
Phone (919) 854-0560
National Provider Directory
National Provider DirectoryLocations
1300 SE Maynard Rd
Ste 103
Cary, NC 27511
Phone (919) 270-4058
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Cary, NC
- NPI 1295791077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285690065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 WINDROCK LN",
"city": "CARY",
"state": "NC",
"postal_code": "275119766",
"telephone_number": "919-854-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 SE MAYNARD RD",
"address_2": "SUITE 103",
"city": "CARY",
"state": "NC",
"postal_code": "275113602",
"telephone_number": "919-380-0127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOLICK COUNSELING SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOLICK",
"authorized_official_first_name": "JEANNE",
"authorized_official_middle_name": "LATIMER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-854-0560",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.