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DR. IZETTA BRIGGS-BOLLING DSW, LCSW, LMHC, CAS
NPI 1265751382
Social Worker in Middletown, NY

Active since May 28, 2010PECOS EnrolledAccepts Medicare Assignment
2462 ROUTE 302, MIDDLETOWN, NY 10941(845) 313-4494 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Izetta Briggs-bolling Dsw, Lcsw, Lmhc, Cas NPPES

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

DR. IZETTA BRIGGS-BOLLING DSW, LCSW, LMHC, CAS (NPI 1265751382) is an individual social worker in Middletown, New York, licensed in New York (087722) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Middletown, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265751382
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDR. IZETTA BRIGGS-BOLLINGCredential: DSW, LCSW, LMHC, CAS
Location Address2462 ROUTE 302Middletown, NY 10941-3230
Mailing Address37 Woodlake DrMiddletown, NY 10940-4274 · (845) 313-4496
Phone(845) 313-4494
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 28, 2010
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1265751382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 087722
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 003343 (NY)
2462 ROUTE 302, Middletown, NY 10941
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Secondary Practice Location 1

Location 116-24 Union streetMiddletown, NY 10940-1094 · Phone (845) 421-1838

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

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

Dr. Izetta Briggs-bolling Dsw, Lcsw, Lmhc, Cas 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 ID3971840323
PECOS Enrollment IDI20190123003857
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.

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 Izetta Briggs-bolling's NPI number?

The NPI number for Izetta Briggs-bolling is 1265751382. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Where is Izetta Briggs-bolling located?

Izetta Briggs-bolling practices at 2462 Route 302, Middletown, NY 10941. The listed phone number is (845) 313-4494.

What is Izetta Briggs-bolling's specialty?

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

Is Izetta Briggs-bolling enrolled in Medicare?

Yes. Izetta Briggs-bolling 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.

When was this NPI record last updated?

The NPPES record for Izetta Briggs-bolling was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.