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MICHELLE H. BOLEN LCSW
NPI 1154330975
Social Worker - Clinical in Windham, ME

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
744 ROOSEVELT TRL STE 302A, WINDHAM, ME 04062(207) 892-7797(207) 892-7797 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle H. Bolen Lcsw NPPES

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

MICHELLE H. BOLEN LCSW (NPI 1154330975) is an individual clinical provider in Windham, Maine, licensed in Maine (LC4444) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1154330975
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE H. BOLENCredential: LCSW
Location Address744 ROOSEVELT TRL STE 302AWindham, ME 04062-5281
Mailing Address744 Roosevelt Trl Ste 302aWindham, ME 04062-5281 · (207) 892-7797 · Fax (207) 892-7797
Phone(207) 892-7797
Fax(207) 892-7797
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 8, 2006
Last NPPES UpdateOctober 20, 2009
✔ NPI 1154330975 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 ME · LC4444
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.
744 ROOSEVELT TRL STE 302A, Windham, ME 04062
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Other Identifiers 2

Medicare PINMM3885ME
Medicare PINMM388501ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.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

Michelle H. Bolen 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 ID6204871536
PECOS Enrollment IDI20050627000850
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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04062 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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 Michelle Bolen's NPI number?

The NPI number for Michelle Bolen is 1154330975. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Michelle Bolen located?

Michelle Bolen practices at 744 Roosevelt Trl Ste 302A, Windham, ME 04062. The listed phone number is (207) 892-7797.

What is Michelle Bolen's specialty?

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

Is Michelle Bolen enrolled in Medicare?

Yes. Michelle Bolen 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.

What insurance does Michelle Bolen accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Michelle Bolen 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.

Is Michelle Bolen affiliated with any hospitals?

According to CMS data, Michelle Bolen is affiliated with Northern Light Health.

When was this NPI record last updated?

The NPPES record for Michelle Bolen was last updated on October 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.