Individual provider · Type 1 NPI

Rubi Bolles, LCSW

Clinical Social Worker · Grayslake, IL

NPI number 1134895675 Active

Practice location

100 N Atkinson Rd
Grayslake, IL 60030-7801

Mailing address

661 W Lake St Ste 2S
Chicago, IL 60661-1034

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1134895675

Rubi Bolles, LCSW's National Provider Identifier is 1134895675, issued on Aug 16, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grayslake, IL. The record was last updated on Aug 29, 2025.