Rory Duval-Bolender, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS24657 Issued in CA

Practice address

8665 Wilshire Blvd
Suite 220
Beverly Hills, CA 90211-2975

Phone

(323) 202-3631

NPI assigned

Feb 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Laura Rory Duval-Bolender Former name

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.

{
    "created_epoch": "1328313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376697600000",
    "number": "1730451840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N CROFT AVE",
            "address_2": "#3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483423",
            "telephone_number": "323-202-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 WILSHIRE BLVD",
            "address_2": "SUITE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112975",
            "telephone_number": "323-202-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL-BOLENDER",
        "first_name": "RORY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-04",
        "last_updated": "2013-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "DUVAL-BOLENDER",
            "middle_name": "RORY",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2013; 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.