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MICAH BOLDEN LCSW
NPI 1174200018
Social Worker - Clinical in Dallas, TX

Active since July 03, 2023PECOS Enrolled
8204 ELMBROOK DR STE 260, DALLAS, TX 75247(214) 351-1775 Get Directions Write a Review

NPPES record last updated: August 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2025, Jul 3, 2023 (2 updates tracked since 2023).

About Micah Bolden Lcsw NPPES

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

MICAH BOLDEN LCSW (NPI 1174200018) is an individual clinical provider in Dallas, Texas, licensed in Texas (107915) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1174200018
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICAH BOLDENCredential: LCSW
Location Address8204 ELMBROOK DR STE 260Dallas, TX 75247-4067
Mailing Address1139 Haines AveDallas, TX 75208-4042 · (706) 333-3426
Phone(214) 351-1775
Sole ProprietorYes
Enumeration DateJuly 3, 2023
Last NPPES UpdateAugust 30, 20252 updates tracked since enumeration
NPPES CertifiedAugust 30, 2025
✔ NPI 1174200018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TX · 107915✔ Licensed in CO · CSW.09932236
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.
8204 ELMBROOK DR STE 260, Dallas, TX 75247
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Secondary Practice Location 1

Location 11139 Haines AveDallas, TX 75208-4042 · Phone (706) 333-3426

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Micah Bolden Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 75247 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 $57.18 – $172.86
Typical copayment $0.00 (range $14.29 – $43.21)
Most-billed visit code NA
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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

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

BOLD STEPS THERAPY PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
8204 ELMBROOK DR STE 260
DALLAS, TX 75247
Dallas County (214) 351-1775

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 Micah Bolden's NPI number?

The NPI number for Micah Bolden is 1174200018. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Micah Bolden located?

Micah Bolden practices at 8204 Elmbrook Dr Ste 260, Dallas, TX 75247. The listed phone number is (214) 351-1775.

What is Micah Bolden's specialty?

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

Is Micah Bolden enrolled in Medicare?

Yes. Micah Bolden is registered in the Medicare PECOS enrollment system.

What insurance does Micah Bolden accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Micah Bolden 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 Micah Bolden was last updated on August 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.