Brian D Bolt, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5071 Issued in KS

Practice address

509 E Elm St
Salina, KS 67401-2353

Phone

(785) 825-0541

Fax

(785) 825-4024

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2007.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1649479130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012353",
            "telephone_number": "785-825-0541",
            "fax_number": "785-825-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012353",
            "telephone_number": "785-825-0541",
            "fax_number": "785-825-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLT",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Reeves Bockhorn, RPH
• Janie L Boehne, ARNP
• Angela M. Bogart, APRN-C
• Dora Ann Bohrer, CADC
• Julie Anne Bolin
• Catharine A Bolt, TLMSW
• Rodrigo Bonilla, LSCSW
• Tyler Brandon Boone
• Carri Ann Boss-Barry, OTR/L
• Scott Michael Boswell, MD

• All providers in Salina, KS
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.