Sarah Bolme, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Kannapolis, NC

NPI 1982990941 · NPPES record last updated Jun 28, 2011

Key facts

NPI
1982990941
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C006599 (NC)
Practice address
608 McCombs Ave
Kannapolis, NC 28083-3605
Phone
(704) 933-0007
Fax
(704) 993-0300
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCombs Counseling and Consulting Inc (2 clinicians)

Practice addresses (Care Compare)

608 McCombs Ave
Kannapolis, NC 28083-3605
Phone (704) 933-0007

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130917000433 NC Practitioner - Clinical Social Worker 7416191283 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
McCombs Counseling & Consulting, Inc Current
since Sep 1, 2013
Accepting new patients

Locations

608 McCombs Ave
Kannapolis, NC 28083
Phone (704) 933-0007

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006599 NC Yes

Addresses

Primary practice location

608 McCombs Ave
Kannapolis, NC 28083-3605

Mailing address

12701 Netherhall Dr
Charlotte, NC 28269-8405
Phone (704) 773-1638

Other providers in Kannapolis, NC

All providers in Kannapolis, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.