KIMBERLY M BOLLAND (NPI# 1700146172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700146172 |
| Entity Type | Individual |
| Full Name | KIMBERLY M BOLLAND |
| Credential | LCSW-C |
| Practice Address |
10435 Downsville Pike Hagerstown MD 21740-1732 |
| Mailing Address |
Po Box 454 Clear Spring MD 21722-0454 |
| Practice Telephone | 9195384099 |
| Enumeration Date | 2012-05-20 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
14976 | MD | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C007617 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3000 Highwoods Blvd Ste 310, Raleigh, NC 276041029 | 9197147500 | 9197147515 |
| Street Address |
10435 DOWNSVILLE PIKE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083680359 | Stephen Mellott | Social Worker | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2006-02-27 |
| 1518566231 | Caroline Florenzo | Occupational Therapist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-10-23 |
| 1700485539 | Kaitlyn Daley-rush | Social Worker | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-10-22 |
| 1720685662 | Cynthia Burton | Social Worker | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-10-05 |
| 1811503964 | Stephanie Diane Wells | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-09-23 |
| 1336755404 | Adetayo Ojudun | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-09-23 |
| 1811503105 | Lacey Hutcheson | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-09-22 |
| 1417563933 | Madison Barnes | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-09-21 |
| 1033722806 | Marybeth Raidt | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-08-31 |
| 1598378507 | Jennifer Gates | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218735 | Trauma Clinicians, LLC | Social Worker | 22 N Mulberry St Ste 120, Hagerstown, MD 21740-4870 | 2020-02-28 |
| 1013575398 | Victoria Leizer | Social Worker | 5 Public Sq # 428, Hagerstown, MD 21740-5528 | 2019-06-03 |
| 1821561515 | Jennifer Lee Canby | Social Worker | 22 N Mulberry St Ste 14&120, Hagerstown, MD 21740-4870 | 2019-01-06 |
| 1710478144 | Kathryn Jackson | Social Worker | 18331 Wolfpack Way, Hagerstown, MD 21740-3583 | 2018-05-22 |
| 1699281840 | Kenneth Edward Stewart | Social Worker | 13245 Dusty Ln, Hagerstown, MD 21740-7556 | 2017-12-26 |
| 1942650692 | Strong Families Strong People, LLC | Social Worker | 6 Public Sq Ste 100, Hagerstown, MD 21740 | 2016-06-14 |
| 1568817831 | Kristen Vorlaufer | Social Worker | 7 N. Potomac Street Change Health Systems, Hagerstown, MD 21740 | 2016-04-25 |
| 1104298942 | Edward Vanmetre | Social Worker | 44 N. Potomac Street, Suite 103, Hagerstown, MD 21740 | 2015-10-20 |
| 1205239951 | Danielle Mary Penland Raymond | Social Worker | 226 N Potomac St, Hagerstown, MD 21740-3813 | 2014-10-08 |
| 1598003519 | Susan Michelle Fedorko | Social Worker | 11937 Azalea Dr, Hagerstown, MD 21740-2371 | 2013-01-25 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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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.