Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BREANNA BOHLE LCSW
NPI 1215771936
Social Worker in New London, CT

Q: What is Breanna Bohle's NPI number?

The NPI number for Breanna Bohle is 1215771936. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Q: What is Breanna Bohle's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Bohle was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.

Active since June 19, 2024PECOS Enrolled

931 BANK ST, NEW LONDON, CT 06320(860) 447-2233 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Jun 20, 2024 (2 updates tracked since 2024).

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About Breanna Bohle Lcsw NPPES

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

BREANNA BOHLE LCSW (NPI 1215771936) is an individual social worker in New London, Connecticut, licensed in Connecticut (16990) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Griswold.

NPPES Registry Identity

NPI1215771936

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameBREANNA BOHLECredential: LCSW

Location Address931 BANK STNew London, CT 06320-2702

Mailing Address22 Blood StLyme, CT 06371-3514

Phone(860) 447-2233

Sole ProprietorNo

Enumeration DateJune 19, 2024

Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration

NPPES CertifiedOctober 28, 2026

✔ NPI 1215771936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CT · 16990

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

931 BANK ST, New London, CT 06320

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Secondary Practice Location 1

Location 170 Main StGriswold, CT 06351-2226 · Phone (860) 303-9760

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Bohle 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.

Other Providers at the Same Location NPPES 5

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

MRS. ANNETTE LICKWOLA LADC

Counselor (Addiction (Substance Use Disorder))