Individual provider · Type 1 NPI

Melody Bolin, LISW

Clinical Social Worker · Newark, OH

NPI number 1083105563 Active

Practice location

112 S 3rd St
Newark, OH 43055-5335

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS.2208620 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000XAPS.006290 (OH)
Clinical Social Worker Primary 1041C0700XI.2608685 (OH)

Clinical Social Worker: 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 interpers…

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About NPI 1083105563

Melody Bolin, LISW's National Provider Identifier is 1083105563, issued on May 21, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newark, OH. The record was last updated on Sep 2, 2026.