Mary Katherine Boleware, LMSW #16305

Primary specialty

CounselorTaxonomy code 101Y00000X

License

16305 Issued in LA

Practice address

2640 Canal St Ste 4
New Orleans, LA 70119-6448

Phone

(504) 821-2232

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Whitman-Walker Clinic, Inc

  dba Whitman-Walker Health

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1184616617
  Medicare reassignment NPD
• Council on Alcohol and Drug Abuse

  dba CADA Prevention and Recovery Center

  • Clinical Social Worker
  • New Orleans, LA
  • NPI 1508404484
  NPD
• Whitman-Walker Clinic Inc.

  dba Whitman-Walker Pharmacy

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1003316316
  NPD
• Council on Alcohol and Drug Abuse for Greater New Orleans

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Orleans, LA
  • NPI 1427419951
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1700461365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 CANAL ST STE 4",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196448",
            "telephone_number": "504-821-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 CANAL ST STE 4",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196448",
            "telephone_number": "504-821-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEWARE",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "LMSW #16305",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "16305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Rose Bolden
• Lynn Chandler Bolden, CSW
• Rickia Bolden, PH.D, LPC
• Nicole Wingard Bolds
• Dollie Burton Boles, LMSW
• Kelly Bolger, PH.D.
• Aaron Christopher Bollich, PA-C
• Britany Bolling
• Sophia Cecile Bologna
• Dayna Lynnette Bolton, DPM

• Counselor in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.