Ariel M Bouldin

Primary specialty

Social WorkerTaxonomy code 104100000X

License

30069 Issued in MD

Practice address

4915 Saint Elmo Ave Ste 506
Bethesda, MD 20814-6291

Phone

(301) 661-3481

NPI assigned

Jun 7, 2023

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

Enrolled in DC

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, 2023

Medicare assignment

May accept Medicare assignment

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.

• One Mental Health LLC

  dba Ellie Mental Health of Montgomery County

  • Adolescent and Children Mental Health Clinic/Center
  • Bethesda, MD
  • NPI 1699407460

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1578257093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146291",
            "telephone_number": "301-661-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146291",
            "telephone_number": "301-661-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULDIN",
        "first_name": "ARIEL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "30069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua M Boster, MD
• Yevgeny Botanov, PHD
• Martine Elyse Bottalico
• Tara Bouchard, PT
• Danielle Duchatellier Boucree, LMSW
• Maximilian Henrique Richard Bourgogne Von Hohenstaufen, DDS
• Jared Bourke, MD
• Taylor Bourne, LCSW
• William Paul Bouten
• Andree Bouterie, MD

• Social Worker in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.