Individual provider · Type 1 NPI

Kathy J. Bolan, LCSW

Clinical Social Worker · North Little Rock, AR

NPI number 1962596882 Active

Practice location

2200 Fort Roots Dr, 122/A
North Little Rock, AR 72114-1709

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X739-C (AR)

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 1962596882

Kathy J. Bolan, LCSW's National Provider Identifier is 1962596882, issued on Oct 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Little Rock, AR. The record was last updated on Jul 8, 2007.