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SIMONE KENDALL BOLDEN LCSW
NPI 1023608825
Social Worker - Clinical in Schererville, IN

Active since January 25, 2021PECOS EnrolledAccepts Medicare Assignment
1153 AUBURN MEADOW LN, SCHERERVILLE, IN 46375(219) 477-9807 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 17, 2024, Oct 7, 2022, Oct 20, 2021 and 2 more (5 updates tracked since 2021).

About Simone Kendall Bolden Lcsw NPPES

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

SIMONE KENDALL BOLDEN LCSW (NPI 1023608825) is an individual clinical provider in Schererville, Indiana, licensed in California (119778) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023608825
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSIMONE KENDALL BOLDENCredential: LCSW
Location Address1153 AUBURN MEADOW LNSchererville, IN 46375-1381
Mailing Address9250 Columbia Ave Ste 2eMunster, IN 46321-3530 · (219) 595-0043 · Fax (219) 237-2894
Phone(219) 477-9807
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 25, 2021
Last NPPES UpdateJune 8, 20265 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1023608825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 119778✔ Licensed in IN · 34009011A✔ Licensed in IL · 149023938
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.
1153 AUBURN MEADOW LN, Schererville, IN 46375
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Other Names 1

Former Name (1)Simone Kendall Ingram Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Simone Kendall Bolden Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234545336
PECOS Enrollment IDI20210316001542
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
343 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Simone Bolden's NPI number?

The NPI number for Simone Bolden is 1023608825. It was assigned to this individual provider in the NPPES registry on January 25, 2021. The provider is also known as Simone Kendall Ingram Lcsw.

Where is Simone Bolden located?

Simone Bolden practices at 1153 Auburn Meadow Ln, Schererville, IN 46375. The listed phone number is (219) 477-9807.

What is Simone Bolden's specialty?

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

Is Simone Bolden enrolled in Medicare?

Yes. Simone Bolden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Simone Bolden was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.