MEREDITH BOLAN THERAPY, LLC
NPI 1114596277
Social Worker - Clinical in La Grange, IL

Active since June 23, 2021
82 S LA GRANGE RD STE 210, LA GRANGE, IL 60525(630) 446-0407 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meredith Bolan Therapy, Llc NPPES

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

MEREDITH BOLAN THERAPY, LLC (NPI 1114596277) is a healthcare organization registered as a clinical in La Grange, Illinois and active in the NPI registry since June 2021. The organization lists Meredith Bolan, Owner, as its authorized official.

NPPES Registry Identity

NPI1114596277
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMEREDITH BOLAN THERAPY, LLC
Location Address82 S LA GRANGE RD STE 210La Grange, IL 60525-6348
Mailing Address920 N Spring AveLa Grange Park, IL 60526-1477 · (708) 528-5374
Organization SubpartNo
Authorized OfficialMeredith BolanOwner · (708) 528-5374
Enumeration DateJune 23, 2021
NPPES CertifiedJune 23, 2021
NPI 1114596277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
82 S LA GRANGE RD STE 210, La Grange, IL 60525

Other Identifiers 1

Other149021859IL · License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Social Worker (Clinical)
82 S LA GRANGE RD STE 210
LA GRANGE, IL 60525
Clinic/Center (Adult Mental Health)
82 S LA GRANGE RD STE 210
LA GRANGE, IL 60525
Social Worker (Clinical)
82 S LA GRANGE RD STE 210
LA GRANGE, IL 60525
Social Worker (Clinical)
82 S LA GRANGE RD STE 210
LA GRANGE, IL 60525

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 Meredith Bolan Therapy, LLC's NPI number?

The NPI number for Meredith Bolan Therapy, LLC is 1114596277. It was assigned to this organization in the NPPES registry on June 23, 2021.

Where is Meredith Bolan Therapy, LLC located?

Meredith Bolan Therapy, LLC is located at 82 S La Grange Rd Ste 210, La Grange, IL 60525. The listed phone number is (630) 446-0407.

What is Meredith Bolan Therapy, LLC'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 Meredith Bolan Therapy, LLC was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.