Individual provider Active NPI

Allyson Sue Bolt, LMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1891224820
Registry record updated Jun 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092993 Issued in MI
Practice address
743 N Martin Luther King Jr Blvd
Lansing, MI 48915-2057
Phone
(517) 927-8346
NPI assigned
Jun 4, 2017
Last updated
Jun 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801092993 MI Primary

Addresses

Primary practice location

743 N Martin Luther King Jr Blvd
Lansing, MI 48915-2057

Mailing address

1529 Erica LN
East Lansing, MI 48823-2256
Phone (616) 915-6899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801092993MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496534400000",
    "number": "1891224820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 ERICA LN",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232256",
            "telephone_number": "616-915-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 N MARTIN LUTHER KING JR BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489152057",
            "telephone_number": "517-927-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLT",
        "first_name": "ALLYSON",
        "middle_name": "SUE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2017-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; 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.