Joanna Dorota Kolakowska Bolalek, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

228381 Issued in MA

Practice address

127 Fisher Ave
Roxbury Crossing, MA 02120-3318

Phone

(857) 245-5679

NPI assigned

Apr 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joanna Bolalek Mann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1366296006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 FISHER AVE",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021203318",
            "telephone_number": "857-245-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 FISHER AVE",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021203318",
            "telephone_number": "857-245-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLALEK",
        "first_name": "JOANNA",
        "middle_name": "DOROTA KOLAKOWSKA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "228381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "MANN",
            "middle_name": "BOLALEK",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frederick Calvin Basilico, M.D.
• Sheila Baudin
• Donald Bearden, PHD
• Sarah Kate Bearman, PH.D.
• Kathryn Blum, APRN
• Priscilla Dunn Bolte, NP RN
• Meryn Rita Boraski, CRNA
• Boston Cardiovascular Associates, P.C.
• Boston Hematology & Oncology
• Boston Partners in Mentoring Inc

• Clinical Social Worker in Roxbury Crossing, MA
• Providers in Roxbury Crossing, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.