CARL ANN REI P. BOLANO LCSW
NPI 1053926626
Social Worker - Clinical in Los Angeles, CA

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment
520 S LA FAYETTE PARK PL FL 3, LOS ANGELES, CA 90057(213) 252-2100 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2025, Mar 19, 2025, Aug 17, 2023 and 5 more (8 updates tracked since 2020).

About Carl Ann Rei P. Bolano Lcsw NPPES

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

CARL ANN REI P. BOLANO LCSW (NPI 1053926626) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW129353) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053926626
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARL ANN REI P. BOLANOCredential: LCSW
Location Address520 S LA FAYETTE PARK PL FL 3Los Angeles, CA 90057-1607
Mailing Address520 S La Fayette Park Pl Fl 3Los Angeles, CA 90057-1607 · (213) 252-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 10, 2020
Last NPPES UpdateApril 2, 20258 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1053926626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW129353
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ACSW104971 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
520 S LA FAYETTE PARK PL FL 3, Los Angeles, CA 90057

Secondary Practice Location 1

Location 11400 S Grand Ave Ste 600Los Angeles, CA 90015-3068 · Phone (213) 742-6250

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

Carl Ann Rei P. Bolano 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 ID7416472303
PECOS Enrollment IDI20250423002650
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90057 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

Marriage & Family Therapist
520 S LA FAYETTE PARK PL FL 3
LOS ANGELES, CA 90057
Social Worker (Clinical)
520 S LA FAYETTE PARK PL FL 3
LOS ANGELES, CA 90057
Marriage & Family Therapist
520 S LA FAYETTE PARK PL FL 3
LOS ANGELES, CA 90057
Marriage & Family Therapist
520 S LA FAYETTE PARK PL FL 3
LOS ANGELES, CA 90057
Counselor (Mental Health)
520 S LA FAYETTE PARK PL FL 3
LOS ANGELES, CA 90057
Case Manager/Care Coordinator
520 S LA FAYETTE PARK PL FL 3
LOS ANGELES, CA 90057
Psychiatry & Neurology (Psychiatry)
520 S LA FAYETTE PARK PL FL 3
LOS ANGELES, CA 90057
Marriage & Family Therapist
520 S LA FAYETTE PARK PL FL 3
LOS ANGELES, CA 90057

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 Carl Ann Rei Bolano's NPI number?

The NPI number for Carl Ann Rei Bolano is 1053926626. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Carl Ann Rei Bolano located?

Carl Ann Rei Bolano practices at 520 S La Fayette Park Pl Fl 3, Los Angeles, CA 90057. The listed phone number is (213) 252-2100.

What is Carl Ann Rei Bolano's specialty?

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

Is Carl Ann Rei Bolano enrolled in Medicare?

Yes. Carl Ann Rei Bolano 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 Carl Ann Rei Bolano was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.