Individual provider Active NPI

Migdelia Bolin, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1639299472
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003087A Issued in IN
Practice address
8801 N Meridian St Ste 311
Indianapolis, IN 46260-5316
Phone
(317) 923-2333
Fax
(317) 732-8959
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 34003087A IN
Clinical Social Worker 1041C0700X 34003087A IN Primary

Addresses

Primary practice location

8801 N Meridian St Ste 311
Indianapolis, IN 46260-5316

Mailing address

8801 N Meridian St Ste 311
Indianapolis, IN 46260-5316
Phone (317) 923-2333

Other identifiers 2

IdentifierTypeStateIssuer
100065860AJMedicaidIN
300068515MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20230516000703 IN Practitioner - Clinical Social Worker 9133585227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11040 Winding Brook LN
Carmel, IN 46280-1258
Phone (317) 660-5319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34003087AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Counseling LLC Clinical CurrentSince Jan 18, 2023 Accepting new patients
Matthew E Glasser CurrentSince Jul 13, 2025 Accepting new patients

Locations

8801 N Meridian St
Ste 311
Indianapolis, IN 46260
Phone (317) 296-8409

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1639299472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 N MERIDIAN ST STE 311",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605316",
            "telephone_number": "317-923-2333",
            "fax_number": "317-923-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 N MERIDIAN ST STE 311",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605316",
            "telephone_number": "317-923-2333",
            "fax_number": "317-732-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "MIGDELIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34003087A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003087A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100065860AJ",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300068515",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.