ALICIA BOLEN (NPI# 1083926968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083926968 |
| Entity Type | Individual |
| Full Name | ALICIA BOLEN |
| Credential | LMSW |
| Practice Address |
139c E Jackson Ave Monticello AR 71655-4933 |
| Practice Telephone | 8702248108 |
| Practice Fax Number | 8702248110 |
| Mailing Telephone | 8702248108 |
| Mailing Fax Number | 8702248110 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2525-M | AR | Behavioral Health & Social Service Providers |
| Street Address |
139C E JACKSON AVE |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821128422 | Fred Pefferkorn | Counselor | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2007-03-06 |
| 1356967004 | Minerva Huante | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2020-06-18 |
| 1861033722 | Kellie Gober | Social Worker | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2019-10-02 |
| 1508348038 | Bhc Pinnacle Pointe Healthcare | Clinic/Center | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2018-08-31 |
| 1235583345 | Eddie Davidson | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2016-04-15 |
| 1891132759 | Elaine M Simpson | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2013-05-31 |
| 1720372204 | Erma Riley | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2011-06-02 |
| 1154558278 | Jennifer Ann Hall | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2009-06-16 |
| 1538309281 | Daniel Bergeron | Counselor | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2009-02-20 |
| 1932358389 | Steven C Nall | Counselor | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1629366505 | Kendall Stetzner | Social Worker | 217 E Marion St, Monticello, IL 61856-1921 | 2011-07-13 |
| 1265751382 | Izetta Briggs-bolling | Social Worker | 11 Hamiton Ave, Monticello, NY 12701-1157 | 2010-05-28 |
| 1841429032 | Nicole Monk-stoneking | Social Worker | 802 Northridge Dr, Monticello, IA 52310-9411 | 2009-07-08 |
| 1013950203 | William J Affeldt | Social Worker | 407 Washington St, Monticello, MN 55362-8815 | 2006-06-14 |
| 1093314551 | Crystal Cole | Social Worker | 112 W 1st St, Monticello, IA 52310-1519 | 2020-10-25 |
| 1861033722 | Kellie Gober | Social Worker | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2019-10-02 |
| 1487173456 | Megan Arnold | Social Worker | 11 Hamilton Ave, Monticello, NY 12701-1319 | 2017-09-11 |
| 1114472248 | Elizabeth Carrasquillo | Social Worker | 64 Jefferson St, Suite 1, Monticello, NY 12701-1148 | 2016-08-18 |
| 1780045153 | Marshae W Shaw | Social Worker | 790 Roberts Drive, Monticello, AR 71655 | 2016-03-14 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.