Individual provider · Type 1 NPI

Micah Bolden, LCSW

Clinical Social Worker · Dallas, TX

NPI number 1174200018 Active

Practice location

8204 Elmbrook Dr Ste 260
Dallas, TX 75247-4067

Mailing address

1139 Haines Ave
Dallas, TX 75208-4042

Other practice locations

  • 1139 Haines Ave, Dallas, TX 75208-4042 · (706) 333-3426

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCSW.09932236 (CO)
Clinical Social Worker Primary 1041C0700X107915 (TX)

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 1174200018

Micah Bolden, LCSW's National Provider Identifier is 1174200018, issued on Jul 3, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dallas, TX. The record was last updated on Aug 30, 2025.