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DIANE BRADFORD BOLSTER MSW, LCSWA
NPI 1104659630
Social Worker - Clinical in Mooresville, NC

Active since August 21, 2024
121 ROLLING HILL RD STE 225, MOORESVILLE, NC 28117(704) 737-2109 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2025, Aug 21, 2024 (2 updates tracked since 2024).

About Diane Bradford Bolster Msw, Lcswa NPPES

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

DIANE BRADFORD BOLSTER MSW, LCSWA (NPI 1104659630) is an individual clinical provider in Mooresville, North Carolina, licensed in North Carolina (PO21183) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1104659630
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDIANE BRADFORD BOLSTERCredential: MSW, LCSWA
Location Address121 ROLLING HILL RD STE 225Mooresville, NC 28117-8861
Mailing Address121 Rolling Hill Rd Ste 225Mooresville, NC 28117-8861 · (980) 505-7712
Phone(704) 737-2109
Sole ProprietorYes
Enumeration DateAugust 21, 2024
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1104659630 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 NC · PO21183
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.
121 ROLLING HILL RD STE 225, Mooresville, NC 28117
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 4

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

MRS. ALLISON GREEN MSW, LCSWA
Counselor (Mental Health)
121 ROLLING HILL RD STE 225
MOORESVILLE, NC 28117
Iredell County (704) 534-5997
KAITLYNN WOODARD
Marriage & Family Therapist
121 ROLLING HILL RD STE 225
MOORESVILLE, NC 28117
Iredell County (704) 534-5997
STAFFORD & ASSOCIATES COUNSELING, PLLC
Social Worker (Clinical)
121 ROLLING HILL RD STE 225
MOORESVILLE, NC 28117
Iredell County (704) 534-5997
DR. NANCI STAFFORD LCSW
Social Worker (Clinical)
121 ROLLING HILL RD STE 225
MOORESVILLE, NC 28117
Iredell County (704) 534-5997

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 Diane Bolster's NPI number?

The NPI number for Diane Bolster is 1104659630. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Diane Bolster located?

Diane Bolster practices at 121 Rolling Hill Rd Ste 225, Mooresville, NC 28117. The listed phone number is (704) 737-2109.

What is Diane Bolster's specialty?

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

What insurance does Diane Bolster accept?

Health plans from Blue Cross and Blue Shield of NC list Diane Bolster as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diane Bolster was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.