Betty Jo Bolin, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106756 Issued in MA

Practice address

200 Boston Ave Ste 1900
Medford, MA 02155-4257

Phone

(781) 306-1180

Fax

(781) 306-1190

NPI assigned

Jun 15, 2007

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 MA

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

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861697336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOSTON AVE STE 1900",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554257",
            "telephone_number": "781-306-1180",
            "fax_number": "781-306-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOSTON AVE STE 1900",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554257",
            "telephone_number": "781-306-1180",
            "fax_number": "781-306-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "BETTY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine J Block-Pellegrini
• Edith Block
• Helaine Blomberg, MHC
• Helena Bloomingdale, LICSW
• Elizabeth P Bohan, LICSW
• Jennifer L. Bonczek, RD
• Christine M Bond-Eaves, MA CCCA A
• Abigail Bond, MHC
• Sara Ines Bonilla, LMHC, CCM
• Wayne Bonkowski, DPT

• Clinical Social Worker in Medford, MA
• Providers in Medford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.