Kelly Elizabeth Bolton, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253467 Issued in KY

Practice address

2250 Thunderstick Dr Ste 1104
Lexington, KY 40505

Phone

(859) 475-8352

NPI assigned

Jun 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1720437676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 TULANE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171534",
            "telephone_number": "859-270-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 THUNDERSTICK DR STE 1104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40505",
            "telephone_number": "859-475-8352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Radio Park Dr",
            "address_2": "#1",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752997",
            "country_code": "US",
            "telephone_number": "859-494-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "7398",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100556810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Claire Bollinger, LCSW
• Stephen Bollinger, MD
• Sarah Boltik, DO
• Bolton Chiropractic Center PSC
• Kathryn A Bolton, DC
• Niamh Bolton
• John J Bomalaski
• Sherrie Bonarigo, APRN
• Allen R Bond, MD
• Jackson Bond

• All providers in Lexington, KY
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.