JAMES RANDALL BOLTON LISW
NPI 1053452243
Social Worker - Clinical in Davenport, IA

Q: What is James Bolton's NPI number?

The NPI number for James Bolton is 1053452243. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is James Bolton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Bolton was last updated on June 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment

1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804(563) 888-6275(563) 884-4638 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James Randall Bolton Lisw NPPES

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

JAMES RANDALL BOLTON LISW (NPI 1053452243) is an individual clinical provider in Davenport, Iowa, licensed in Iowa (00037) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1053452243

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJAMES RANDALL BOLTONCredential: LISW

Location Address1441 W CENTRAL PARK AVEDavenport, IA 52804-1707

Mailing Address1441 W Central Park AveDavenport, IA 52804-1707 · (563) 888-6275 · Fax (563) 884-4638

Phone(563) 888-6275

Fax(563) 884-4638

Sole ProprietorNo

Medical School CMSOtherGraduated 1973

Enumeration DateFebruary 9, 2007

Last NPPES UpdateJune 20, 2008

✔ NPI 1053452243 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 IA · 00037

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.

1441 W CENTRAL PARK AVE, Davenport, IA 52804

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Other Identifiers 2

Medicare PIN07452014

Other420716337Ein

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

James Randall Bolton Lisw 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 ID547331852

PECOS Enrollment IDI20080613000315

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, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

303 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52804 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 $52.96 – $161.40

Typical copayment $0.00 (range $13.24 – $40.35)

Most-billed visit code NA

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA CHRISTINE SASS ARNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)