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MS. SHANNON L BOLEN MSW
NPI 1023200466
Social Worker - Clinical in Charleston Afb, SC

Active since August 09, 2007
204 WEST HILL BLVD., 437TH MEDICAL GROUP/SGOH, CHARLESTON AFB, SC 29404(843) 963-6972(843) 963-6930 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shannon L Bolen Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHANNON L BOLEN MSW (NPI 1023200466) is an individual clinical provider in Charleston Afb, South Carolina, licensed in California (20642) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1023200466
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHANNON L BOLENCredential: MSW
Location Address204 WEST HILL BLVD., 437TH MEDICAL GROUP/SGOHCharleston Afb, SC 29404-4704
Mailing Address204 West Hill Blvd, 437th Medical Group/sgohCharleston Afb, SC 29404-4704 · (843) 963-6972 · Fax (843) 963-6930
Phone(843) 963-6972
Fax(843) 963-6930
Sole ProprietorYes
Enumeration DateAugust 9, 2007
Last NPPES UpdateSeptember 13, 2007
✔ NPI 1023200466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 20642
Definition
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.
204 WEST HILL BLVD., Charleston Afb, SC 29404
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Other Identifiers 1

Medicare UPINVAD000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Bolen's NPI number?

The NPI number for Shannon Bolen is 1023200466. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Shannon Bolen located?

Shannon Bolen practices at 204 West Hill Blvd. 437th Medical Group/Sgoh, Charleston Afb, SC 29404. The listed phone number is (843) 963-6972.

What is Shannon Bolen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shannon Bolen was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.